Individual
ASHLEY ELIZABETH FECTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6540 LUSK BLVD STE C200, SAN DIEGO, CA 92121-5792
(619) 535-8791
Mailing address
6540 LUSK BLVD STE C200, SAN DIEGO, CA 92121-5792
(619) 535-8791
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
89147
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2014
Last updated
11/05/2020
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