Individual
ASHLEY SOUTHCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1479 PLANTAIN DR, MINOOKA, IL 60447-8215
(815) 600-5146
Mailing address
1479 PLANTAIN DR, MINOOKA, IL 60447-8215
(815) 600-5146
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.022227
IL
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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