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Individual

ASHLEY ELIZABETH HEPBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RADT

Contact information

Practice address
1279 2ND ST STE C, CRESCENT CITY, CA 95531-4134
(707) 464-4813
(707) 465-1442
Mailing address
1279 2ND ST STE C, CRESCENT CITY, CA 95531-4134
(707) 464-4813
(707) 465-1442

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1286630118
CA

Other

Enumeration date
05/30/2018
Last updated
05/30/2018
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