Individual
ASHLEY MARANVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
15285 DAUCHY AVE, RIVERSIDE, CA 92508-8924
(951) 565-1445
Mailing address
15285 DAUCHY AVE, RIVERSIDE, CA 92508-8924
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
D9448056
CA
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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