Individual provider · NPI-1

Lynette Ashmore, M.A.

Counselor, Professional · Mattoon, IL

NPI number1811009863
StatusActive
Last updated in NPPESFeb 23, 2009

Details

NPI
1811009863
Entity type
Individual (NPI-1)
Name
Mrs. Lynette Ashmore
Credential
M.A.
Sex
Female
Sole proprietor
No
Enumeration date
Aug 31, 2006
Last updated
Feb 23, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional180-002530ILYes

Practice location

750 Broadway Ave E
Mattoon, IL 61938-4610

Phone 217-238-5700 · Fax 217-238-5767

Mailing address

750 Broadway Ave E
Mattoon, IL 61938-4610

Phone 217-238-5700 · Fax 217-238-5767

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