Doctor Name: | ASHLEY RICK |
NPI Number: | 1093180689 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 000689 |
Business Practice Address: | 89 Main St Middlebury, VT - 057531459 |
Business Phone Number: | 8023880302 |
Business Fax Number: | 8023888183 |
Mailing Address: | 89 Main St, MIDDLEBURY |
State: | VT |
Postal Code: | 057531459 |
Phone Number: | 8023880302 |
Fax Number: | 8023888183 |
NPI Enumeration Date: | 12/08/2015 |
NPI Last Update Date: | 12/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 000689 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |