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Individual

ASHLEY MARIE FELLOWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2600 FORUM BLVD STE G, COLUMBIA, MO 65203-6343
(673) 239-9915
Mailing address
1798 E RIVIERA DR, COLUMBIA, MO 65202-3329
(573) 554-6057

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2016040361
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101YA0400X
MO
05
1568817518
MO
Enumeration date
04/27/2016
Last updated
07/25/2025
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