Blanc, Ashley M

Blanc, Ashley M is an individual health care provider with primary practice located at 606 Washington St , Ravenswood WV 26164. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Blanc, Ashley M can be contacted via phone (304) 273-1033.

Contact Information

Primary practice address
606 Washington St Ravenswood WV 26164
Phone: (304) 273-1033
Fax: (304) 273-1034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1241 West Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1241 West Virginia

Profile Details

NPI number 1356793095
LBN Legal business name Blanc, Ashley M
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2016
Last updated Dec 21st, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356793095 NPPES
West Virginia MEDICAID 1356793095

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