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Individual

CODY LEE ASHBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS LPCC

Contact information

Practice address
2006 1ST AVE STE 201, ANOKA, MN 55303-2255
(320) 293-3238
Mailing address
10909 NOBLE AVE N, CHAMPLIN, MN 55316-3509
(320) 293-3238

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3280
MN

Other

Enumeration date
04/19/2022
Last updated
04/19/2022
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