Ashley Dawn Amburn, LCPC

NPI #1043672512 in O Fallon, Illinois

Provider Information

NPI Number: 1043672512
Entity Type: Individual
Name: Ashley Dawn Amburn, LCPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LCPC
Enumeration Date: Mar 24, 2016
Last Updated: Nov 14, 2019

Practice Location

Address: 938 EVAN DR
City: O Fallon
State: Illinois
ZIP Code: 62269-3471
Phone: (618) 531-9637

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor	101Y00000X	Primary

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