Most Relevant Information
Provider Data
| NPI Number: | 1003648221 |
| Provider Name: | ASHLEY LAUREN BURKS RPRS-IFPRS |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: | 07350000844 |
Most Important Dates
| Enumeration Date: | 08/16/2024 |
| Last Updated: | 08/16/2024 |
Provider Practice Location
3208 HERSHBERGER RD NW
ROANOKE
VA
240171842
Practice Location Phone/Fax
| Phone: | 4348513821 |
| Fax: |
Provider Mailing Location
161 SMITH RD
FOREST
VA
245514009
Provider Mailing Phone/Fax
| Phone: | 4348513821 |
| Fax: |