Ashley Provencio
Ashley Provencio is a Mental Health Counselor in Cheyenne, Wyoming. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1920 Thomes Ave Ste 110Cheyenne, WY 82001-3543
Phone: (210) 823-3808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1649869272 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 18, 2021 |
| Last updated in NPPES | January 18, 2021 |
| Certification date | January 18, 2021 |
| Mailing address | 1516 E 17th St, Cheyenne, WY 82001-4920 |
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