Ashley Provaznik, BSED
Ashley Provaznik, BSED is a Counselor in Alton, Illinois. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
2615 Edwards StAlton, IL 62002-3915
Phone: (618) 462-2331
Fax: (618) 462-2504
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1184326639 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | BSED |
| Sole proprietor | No |
| NPI enumerated | March 20, 2023 |
| Last updated in NPPES | March 20, 2023 |
| Certification date | March 20, 2023 |
| Mailing address | 902 W Main St, West Frankfort, IL 62896-2210 |
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