Most Relevant Information
Provider Data
| NPI Number: | 1003516816 |
| Provider Name: | ASHLEIGH NICHOLS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 180014647 |
Most Important Dates
| Enumeration Date: | 03/09/2023 |
| Last Updated: | 03/09/2023 |
Provider Practice Location
465 JENNIFER CT
WOOD DALE
IL
601912749
Practice Location Phone/Fax
| Phone: | 6304859046 |
| Fax: |
Provider Mailing Location
287 LORTON AVE
BURLINGAME
CA
940104203
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |