Individual
ASHLEY WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 HATCH DR, SUITE210, CARIBOU, ME 04736-2161
(207) 498-6431
(207) 492-3181
Mailing address
PO BOX 1018, CARIBOU, ME 04736-1018
(207) 498-6431
(207) 492-3181
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01-0276859
—
ME
Enumeration date
10/29/2013
Last updated
10/29/2013
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