Individual
MRS. ASHLEY NOLAN MACMUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, CRC
Contact information
Practice address
6313 KEVESTA AVE, PALMETTO, FL 34221-2579
(941) 201-9859
Mailing address
6313 KEVESTA AVE, PALMETTO, FL 34221-2579
(941) 201-9859
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH19493
FL
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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