BRENDA S ASHLEY

VIENNA, IL
NPI1275766222
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-08-25
Last Update Date2009-08-25
Business Address
Mrs. BRENDA S ASHLEY BS, MHP
408 E VINE ST
VIENNA, IL 62995-1612
Phone number: 618-658-2611
Mailing Address
Mrs. BRENDA S ASHLEY BS, MHP
PO BOX 105
GOREVILLE, IL 62939-0105
Phone number: 618-751-0752