Individual
ASHLY PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
5970 FREDERICK CROSSING LN STE 100, FREDERICK, MD 21704-5176
(240) 415-8893
(240) 466-1993
Mailing address
5970 FREDERICK CROSSING LN STE 100, FREDERICK, MD 21704-5176
(248) 436-4400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP12786
MD
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/14/2021
Last updated
06/29/2022
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