Provider Demographics
NPI:1033954250
Name:MASTER, ASHLEY (BA PSYCHOLOGY)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:MASTER
Suffix:
Gender:F
Credentials:BA PSYCHOLOGY
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Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1010 S GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49686-3434
Mailing Address - Country:US
Mailing Address - Phone:123-134-6524
Mailing Address - Fax:
Practice Address - Street 1:116 E 8TH ST
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-2524
Practice Address - Country:US
Practice Address - Phone:231-346-5224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)