Individual provider · Type 1 NPI

Ashley Provencio

Mental Health Counselor · Cheyenne, WY

NPI number 1649869272 Active

Practice location

1920 Thomes Ave Ste 110
Cheyenne, WY 82001-3543

Call (210) 823-3808 Map

Mailing address

1516 E 17th St
Cheyenne, WY 82001-4920

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1649869272

Ashley Provencio's National Provider Identifier is 1649869272, issued on Jan 18, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cheyenne, WY. The record was last updated on Jan 18, 2021.