Individual
ASHLEY CINCINATUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAPC, NCC
Contact information
Practice address
6095 PINE MOUNTAIN RD NW STE 105, KENNESAW, GA 30152-3332
(678) 217-7529
Mailing address
6163 GLADE CT, AUSTELL, GA 30168-4264
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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