Individual
MRS. ASHLEY NIEDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2301 GLENWOOD AVE, JOLIET, IL 60435-5481
(815) 730-8221
Mailing address
2301 GLENWOOD AVE, JOLIET, IL 60435-5481
(815) 730-8221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178.008817
IL
101YP2500X
Professional Counselor
Primary
180.009823
IL
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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