Individual
ASHLEY HOLTZCLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4450 W EAU GALLIE BLVD, 200, MELBOURNE, FL 32934-7213
(321) 722-5200
Mailing address
400 SHERIDAN RD, MELBOURNE, FL 32901-3122
(321) 722-5200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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