Individual
ASHLEY COY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
151 MARION AVE, MANSFIELD, OH 44903-2223
(419) 774-9969
Mailing address
151 MARION AVE, MANSFIELD, OH 44903-2223
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.178153
OH
175T00000X
Peer Specialist
0002644
OH
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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