Individual
ASHLEY ELIZABETH WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NCC, LCMHC-A
Contact information
Practice address
231 MEMORIAL DR, JACKSONVILLE, NC 28546-6333
(910) 353-5354
Mailing address
250 SEVILLE ST, JACKSONVILLE, NC 28546-8399
(401) 654-0118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A14581
NC
Other
Enumeration date
01/22/2019
Last updated
04/08/2020
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