Individual
MS. ASHLIE LARRIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1120 W UNIVERSITY AVE, FLAGSTAFF, AZ 86001-2851
(928) 522-1300
(928) 522-1301
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 522-9879
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-21658
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126399
—
AZ
Enumeration date
02/24/2023
Last updated
12/19/2024
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