Doctor Name: | MS. ASHELY WIRBICKI |
NPI Number: | 1831418847 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS |
License Number: | |
Business Practice Address: | Rear 307 Laird St. Choices Program Of Wyoming Valley Wilkes-barre, PA - 18702 |
Business Phone Number: | 5704089320 |
Business Fax Number: | 5704089324 |
Mailing Address: | 562 Wyoming Ave, Choices Program Of Wyoming Valley KINGSTONG |
State: | PA |
Postal Code: | 18704 |
Phone Number: | 5705523700 |
Fax Number: | 5705523705 |
NPI Enumeration Date: | 06/01/2010 |
NPI Last Update Date: | 06/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |