Individual
ASHLY CARBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 JEFFERSON DR, LAKE CHARLES, LA 70605-5713
(337) 431-7194
Mailing address
133 JEFFERSON DR, LAKE CHARLES, LA 70605-5713
(337) 431-7194
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9595
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649929
—
LA
Enumeration date
01/26/2022
Last updated
06/26/2023
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