Individual
MS. ASHLEY LACE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
28407 STATE ROUTE 7, MARIETTA, OH 45750-5152
(740) 371-5476
(740) 371-5494
Mailing address
28407 STATE ROUTE 7, MARIETTA, OH 45750-5152
(304) 699-8772
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
188960
OH
175T00000X
Peer Specialist
APS.004633
OH
Other
Enumeration date
04/25/2024
Last updated
06/17/2024
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