Individual
ASHLYNNE BROOKE NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
621 4TH ST, DAVIS, CA 95616-4151
(530) 574-6374
Mailing address
8189 OLIVE SCHOOL LN, WINTERS, CA 95694-9607
(530) 574-6374
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
139636
CA
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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