Individual provider · Type 1 NPI

Ashley Borum

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1154067189 Active

Practice location

1235 Mchenry Ave Ste A&b
Modesto, CA 95350-5370

Call (209) 527-4597 Map

Mailing address

2215 Tidewind Dr
Stockton, CA 95206-4968

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1154067189

Ashley Borum's National Provider Identifier is 1154067189, issued on May 11, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Modesto, CA. The record was last updated on Mar 9, 2023.