Individual provider · Type 1 NPI

Ashlyn Staves

Professional Counselor · O Fallon, IL

NPI number 1902582513 Active

Practice location

807 W Highway 50 Ste 3
O Fallon, IL 62269-1856

Mailing address

712 George St
Caseyville, IL 62232-2015

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Professional Counselor Primary 101YP2500X180.016179 (IL)

Professional Counselor: Definition to come...

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About NPI 1902582513

Ashlyn Staves's National Provider Identifier is 1902582513, issued on Jun 27, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in O Fallon, IL. The record was last updated on Nov 2, 2024.