Individual
GWENDOLYN ANN THOMAS ASHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COUNSELOR TRAINEE
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Mailing address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1901631-TRNE
OH
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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