Individual
ASHLEY EVELYN NIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-S, CDC-1
Contact information
Practice address
733 SECOND AVENUE, KOTZEBUE, AK 99752
(907) 442-7640
Mailing address
PO BOX 256, KOTZEBUE, AK 99752-0256
(907) 442-7640
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
148926
AK
Other
Enumeration date
03/15/2018
Last updated
10/16/2020
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