Individual
ASHLEY CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3470 W CHEYENNE AVE STE 400, NORTH LAS VEGAS, NV 89032-8244
(702) 636-0085
Mailing address
PO BOX 897, BOISE, ID 83701-0897
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00444-C
NV
Other
Enumeration date
10/30/2017
Last updated
03/17/2018
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