Individual
ASHLYN STAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
807 W HIGHWAY 50 STE 3, O FALLON, IL 62269-1856
(618) 836-8142
Mailing address
712 GEORGE ST, CASEYVILLE, IL 62232-2015
(618) 593-1023
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.016179
IL
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
06/27/2023
Last updated
11/02/2024
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