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Individual

ASHLEY RENEE TARRENCE I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
409 MILLERSTOWN ST, CLARKSON, KY 42726-8146
(270) 899-2257
(855) 859-1695
Mailing address
2645 BEAVER DAM RD, LEITCHFIELD, KY 42754-9053
(270) 899-2257
(855) 859-1695

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
07/24/2020
Last updated
08/05/2020
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