Black, Ashlie Lynn

Black, Ashlie Lynn is an sole proprietor health care provider with primary practice located at 1698 Liberty St Se , Salem OR 97302-4348. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Black, Ashlie Lynn can be contacted via phone (503) 884-5764.

Contact Information

Primary practice address
1698 Liberty St Se Salem OR 97302-4348
Phone: (503) 884-5764
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X R5804 Oregon
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X R5804 Oregon

Profile Details

NPI number 1467983130
LBN Legal business name Black, Ashlie Lynn
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2017
Last updated Jun 21st, 2022 - about 3 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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