Individual
ASHLEY MICHELE STAVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1200 VALLEY WEST DR STE 302, WEST DES MOINES, IA 50266-1904
(515) 267-1340
Mailing address
2106 40TH ST, DES MOINES, IA 50310-3841
(515) 360-6199
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001473
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12507516
CAQH
IA
Enumeration date
04/23/2012
Last updated
04/09/2014
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