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Individual

ASHLEY ALYN COUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4455 HWY 20 CORVALLIS 97330, CORVALLIS, OR 97330
(541) 757-1852
Mailing address
4455 HWY 20 CORVALLIS 97330, CORVALLIS, OR 97330

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
106S00000X
Behavior Technician
Primary

Other

Enumeration date
09/18/2018
Last updated
10/19/2022
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