Individual
DEIDRE ASHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
640 E BROADWAY AVE, JACKSON, WY 83001-8642
(307) 733-2046
(307) 733-6289
Mailing address
284 EAST KELLY, PO BOX 7331, JACKSON, WY 83002
(307) 690-5627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
785
WY
1041C0700X
Clinical Social Worker
Primary
785
WY
251C00000X
Developmentally Disabled Services Day Training Agency
—
WY
Other
Enumeration date
09/08/2009
Last updated
02/26/2020
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