Amburn, Ashley Dawn

Amburn, Ashley Dawn is an sole proprietor health care provider with primary practice located at 938 Evan Dr , O Fallon IL 62269-3471. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Amburn, Ashley Dawn can be contacted via phone (618) 531-9637.

Contact Information

Primary practice address
938 Evan Dr O Fallon IL 62269-3471
Phone: (618) 531-9637
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180.010153 Illinois
Behavioral Health & Social Service Providers / Counselor 101Y00000X 180.010153 Illinois

Profile Details

NPI number 1043672512
LBN Legal business name Amburn, Ashley Dawn
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2016
Last updated Nov 14th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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