Individual
ASHLEY SUZANNE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2100 MANCHESTER RD STE 602, WHEATON, IL 60187-4587
(630) 480-0060
Mailing address
2100 MANCHESTER RD BLDG A, WHEATON, IL 60187-4579
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178014865
IL
Other
Enumeration date
10/12/2019
Last updated
10/12/2019
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