| Doctor Name: | MISS ASHLEY DOREN |
| NPI Number: | 1639590342 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MED., L.P.C. |
| License Number: | C10000615 |
| Business Practice Address: | 80400 Slab Camp Rd Cadiz, OH - 439079531 |
| Business Phone Number: | 7403815603 |
| Business Fax Number: | |
| Mailing Address: | 80400 Slab Camp Rd, CADIZ |
| State: | OH |
| Postal Code: | 439079531 |
| Phone Number: | 7403815603 |
| Fax Number: | |
| NPI Enumeration Date: | 12/23/2013 |
| NPI Last Update Date: | 12/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | C10000615 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |