Individual
ASHLEY MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4515 S MCCLINTOCK DR, TEMPE, AZ 85282-7376
(480) 641-1165
Mailing address
8377 E VIA DE VENTURA APT L146, SCOTTSDALE, AZ 85258-3149
(206) 618-3110
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11111
NA
—
01
—
111111
NA
—
01
—
NA
NA
—
Enumeration date
03/27/2022
Last updated
03/27/2022
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