Individual
MS. ASHLEIGH L CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CDPT
Contact information
Practice address
11702 YELM HWY SE, OLYMPIA, WA 98513-9109
(360) 459-9603
Mailing address
5917 CRIMSON CT SE, LACEY, WA 98513-4105
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60783419
WA
Other
Enumeration date
11/03/2017
Last updated
03/17/2018
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