Individual
MRS. ASHLEY BOOKWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICDC-CS
Contact information
Practice address
549 E FRONT ST, LOGAN, OH 43138-1717
(740) 407-8697
(740) 216-4064
Mailing address
549 E FRONT ST, LOGAN, OH 43138-1717
(740) 407-8697
(740) 216-4064
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151240
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0215071
—
OH
Enumeration date
02/03/2017
Last updated
06/14/2021
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