Individual
EDGAR ASHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
5415 NW 88TH ST, STE 100, JOHNSTON, IA 50131-2950
(515) 727-1338
(515) 727-1340
Mailing address
5415 NW 88TH ST, STE 100, JOHNSTON, IA 50131-2950
(515) 727-1338
(515) 727-1340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00692
IA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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