Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
NPI | 1003588435 |
---|---|
Provider Name | Ashley N Atwell |
First Address | Cincinnati, OH 45206-1395 |
Second Address | Cincinnati, OH 45219-2419 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2021 |
Last Update Date | 07/02/2022 |