Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | ||
N | 101YP2500X | Professional Counselor | 3818 | LA |
NPI | 1003271263 |
---|---|
Provider Name | Ashley Gilbert |
First Address | West Monroe, LA 71291-4703 |
Second Address | West Monroe, LA 71291-4703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2015 |
Last Update Date | 30/08/2021 |