Individual
ASHLEY DOERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
11233 STATE ROUTE 13, SPARTA, IL 62286-3027
(618) 598-6040
(618) 615-4151
Mailing address
11233 STATE ROUTE 13, SPARTA, IL 62286-3027
(618) 598-6040
(618) 615-4151
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
32972
IL
101YP2500X
Professional Counselor
178.012322
IL
101YP2500X
Professional Counselor
Primary
180013182
IL
225C00000X
Rehabilitation Counselor
00145643
IL
Other
Enumeration date
03/26/2018
Last updated
11/23/2022
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