Individual
ASHLEY BEARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 E LEMON ST, SUITE 105, LAKELAND, FL 33801-5048
(863) 838-9953
(863) 284-0608
Mailing address
5809 GIBSON SHORES DR, LAKELAND, FL 33809-3326
(863) 838-9953
(863) 284-0608
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP5425
FL
101YM0800X
Mental Health Counselor
Primary
MH12624
FL
Other
Enumeration date
11/14/2013
Last updated
07/23/2014
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