Individual
ASHLEY DESILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3800 5TH ST, SAINT CLOUD, FL 34769-2024
(407) 892-5700
Mailing address
3800 5TH ST, SAINT CLOUD, FL 34769-2024
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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