Jakel, Ashley Virginia Ann
Jakel, Ashley Virginia Ann is an individual health care provider with primary practice located at N6520 Lumberjack Guy Rd , Black River Falls WI 54615-5405. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jakel, Ashley Virginia Ann can be contacted via phone (715) 284-9851.Contact Information
Primary practice address
N6520 Lumberjack Guy Rd
Black River Falls WI 54615-5405
Phone: (715) 284-9851
Fax: (715) 284-3434
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 9110 | Wisconsin |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 18634 | Wisconsin |
Profile Details
| NPI number | 1194272419 |
|---|---|
| LBN Legal business name | Jakel, Ashley Virginia Ann |
| Credentials | MSW, LCSW, SAC-IT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2016 |
| Last updated | Feb 1st, 2022 - about 4 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194272419 | NPPES |
| Wisconsin | MEDICAID | 100060771 |
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