Most Relevant Information
Provider Data
| NPI Number: | 1003428608 |
| Provider Name: | ASHLEY DIANE KURNS M.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | MH21288 |
Most Important Dates
| Enumeration Date: | 08/17/2020 |
| Last Updated: | 09/19/2024 |
Provider Practice Location
702 SCRUB JAY WAY
DAVENPORT
FL
338965052
Practice Location Phone/Fax
| Phone: | 8636042216 |
| Fax: |
Provider Mailing Location
702 SCRUB JAY WAY
DAVENPORT
FL
338965052
Provider Mailing Phone/Fax
| Phone: | 8636042216 |
| Fax: |