Most Relevant Information
Provider Data
| NPI Number: | 1003667940 |
| Provider Name: | ASHLEY A MITCHELL SAC-IT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 20289-130 |
Most Important Dates
| Enumeration Date: | 03/28/2024 |
| Last Updated: | 03/28/2024 |
Provider Practice Location
2814 S 108TH ST
WEST ALLIS
WI
532273224
Practice Location Phone/Fax
| Phone: | 4148853525 |
| Fax: |
Provider Mailing Location
8444 N 90TH ST STE 100
SCOTTSDALE
AZ
852584437
Provider Mailing Phone/Fax
| Phone: | 6022488886 |
| Fax: | 6028540504 |