Individual
ASHLEY MCQUOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2732 GRAND AVE, EVERETT, WA 98201-3416
(425) 259-5842
Mailing address
2732 GRAND AVE, EVERETT, WA 98201-3416
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60485547
WA
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO60485547
CHEMICAL DEPENDENCY PROFESSIONAL TRAINEE
WA
01
—
MC60581940
MENTAL HEALTH ASSOCIATE LICENSE
WA
Enumeration date
03/15/2018
Last updated
03/15/2018
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