Individual
ASHLEY GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 WAYNE AVE, DAYTON, OH 45410-1122
(937) 246-2000
Mailing address
600 WAYNE AVE, DAYTON, OH 45410-1122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269960043
—
OH
Enumeration date
05/01/2018
Last updated
09/30/2020
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