Individual
ASHLEY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
30 TECHNOLOGY DR, ROCKY MOUNT, VA 24151-3008
(540) 483-0582
(276) 632-0995
Mailing address
24 CLAY ST, MARTINSVILLE, VA 24112-2810
(540) 483-0582
(276) 632-0995
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007548
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699754010
PIEDMONT REGIONAL COMMUNITY SERVICES BOARD
VA
Enumeration date
03/26/2018
Last updated
03/26/2018
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