Gardon, Ashley

Gardon, Ashley is an individual health care provider with primary practice located at 3860 Monroe Rd , De Pere WI 54115-8399. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Gardon, Ashley can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
3860 Monroe Rd De Pere WI 54115-8399
Phone: (920) 496-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4101007303 Michigan
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MF001486 Pennsylvania
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 984-124 Wisconsin

Profile Details

NPI number 1376889709
LBN Legal business name Gardon, Ashley
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2012
Last updated Mar 15th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376889709 NPPES
Wisconsin MEDICAID 100027764

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