Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1063864338 |
---|---|
Provider Name | Ashley Suzanne Holcomb |
First Address | Monrovia, CA 91016-3427 |
Second Address | Monrovia, CA 91016-3427 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2016 |
Last Update Date | 17/03/2018 |