Individual
MISS ASHLEY GARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3860 MONROE RD, DE PERE, WI 54115-8399
(920) 496-4700
Mailing address
PO BOX 122, PESHTIGO, WI 54157-0122
(715) 513-6401
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
4101007303
MI
106H00000X
Marriage & Family Therapist
Primary
984-124
WI
106H00000X
Marriage & Family Therapist
MF001486
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100027764
—
WI
Enumeration date
12/12/2012
Last updated
03/15/2024
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