Individual
MRS. BRENDA S ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, MHP
Contact information
Practice address
408 E VINE ST, VIENNA, IL 62995-1612
(618) 658-2611
Mailing address
PO BOX 105, GOREVILLE, IL 62939-0105
(618) 751-0752
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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