Most Relevant Information
Provider Data
| NPI Number: | 1003271693 |
| Provider Name: | ASHLEY ELIZABETH BIRKHOLZ CAPSW, SAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/23/2015 |
| Last Updated: | 12/23/2015 |
Provider Practice Location
1626 CLARENCE CT
WEST BEND
WI
530958533
Practice Location Phone/Fax
| Phone: | 2623388611 |
| Fax: | 2623383367 |
Provider Mailing Location
1626 CLARENCE CT
WEST BEND
WI
530958533
Provider Mailing Phone/Fax
| Phone: | 2623388611 |
| Fax: | 2623383367 |