Organization
ASHTON DALE COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHTON E DALE LPC, CAC (MANAGING MEMBER)
(251) 421-3550
Entity
Organization
Contact information
Practice address
400 FAIRHOPE AVE STE 2A, FAIRHOPE, AL 36532-2126
(251) 421-3550
Mailing address
20637 BLUEBERRY LN UNIT 26, FAIRHOPE, AL 36532-7279
(251) 421-3550
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1172
AL
101YP2500X
Professional Counselor
Primary
2106
AL
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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