Individual
ASHLEY WAKNINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
370 CAMINO GARDENS BLVD, BOCA RATON, FL 33432-5816
(047) 256-1288
Mailing address
723 TIVOLI CIR APT 203, DEERFIELD BEACH, FL 33441-8140
(818) 665-5474
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH18512
FL
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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