Individual
JESSICA ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
1803 N JACKSON ST, TULLAHOMA, TN 37388-2201
(567) 278-1090
Mailing address
1803 N JACKSON ST, TULLAHOMA, TN 37388-2201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4428
TN
101YM0800X
Mental Health Counselor
C.1200291
OH
Other
Enumeration date
12/26/2013
Last updated
12/20/2018
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