Provider Demographics
NPI:1578050886
Name:BRAND, ASHLEY M (BA)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:M
Last Name:BRAND
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:HARTNAGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:1013 N RIVER RD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48609-6833
Mailing Address - Country:US
Mailing Address - Phone:989-596-3558
Mailing Address - Fax:989-401-7509
Practice Address - Street 1:1005 3RD ST
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-6012
Practice Address - Country:US
Practice Address - Phone:989-778-1396
Practice Address - Fax:989-778-1394
Is Sole Proprietor?:No
Enumeration Date:2018-04-23
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)