Individual
ASHLEIGH RAE NEESAM-ABUSHHIWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6502 GRAND TETON PLZ STE 204, MADISON, WI 53719-1047
(608) 338-1786
(608) 831-4383
Mailing address
W5175 VAUGHN RD, PARDEEVILLE, WI 53954-9418
(608) 617-0410
(608) 429-3996
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3944
CA
101YP2500X
Professional Counselor
Primary
6617-125
WI
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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