Individual
ASHLEY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMHC
Contact information
Practice address
11224 EAGLE RIVER RUN, FORT WAYNE, IN 46845-8743
(260) 417-6909
Mailing address
11224 EAGLE RIVER RUN, FORT WAYNE, IN 46845-8743
(260) 417-6909
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39004789A
IN
101YM0800X
Mental Health Counselor
Primary
—
IN
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/17/2021
Last updated
05/21/2024
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