Individual
ASHLEY LYNN MATURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
706 EXECUTIVE BLVD STE D, VALLEY COTTAGE, NY 10989-2039
(845) 362-3904
Mailing address
1 CHURCH LN APT B, VALLEY COTTAGE, NY 10989-1940
(845) 558-5439
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215750716
—
NY
Enumeration date
11/04/2024
Last updated
12/11/2024
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