Individual provider · NPI-1

Ashley Boland, LPC

Counselor, Professional · Milford, CT

NPI number1427408079
StatusActive
Last updated in NPPESJun 14, 2016

Details

NPI
1427408079
Entity type
Individual (NPI-1)
Name
Ashley Boland
Credential
LPC
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 14, 2016
Last updated
Jun 14, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional002665CTYes

Practice location

21b Cherry St
Milford, CT 06460-3414

Phone 203-605-2571

Mailing address

21b Cherry St
Milford, CT 06460-3414

Phone 203-605-2571

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