Individual
ASHLEY BASCOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4200 N UNIVERSITY DR, SUNRISE, FL 33351-6210
(954) 494-0800
Mailing address
6251 WINDCHIME PL, BOYNTON BEACH, FL 33472-5116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH13930
FL
Other
Enumeration date
08/11/2016
Last updated
04/27/2017
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