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NPI Code Detail

MEDICARE: ASHLEY MARIE YODER LCSW

MEDICARE:   ASHLEY MARIE YODER  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor104078CA
21041C0700XClinical Social Worker129906CA

General Provider Information

NPI Number : 1215609805
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY MARIE YODER LCSW
Provider Business Mailing Address
First Line : 1123 12TH AVE RD # 175
Second Line :
City : NAMPA
State : ID
Zip : 83686-5738
Country : US
Telephone Number : 208-703-6957
Fax Number :
Provider Business Practice Location Address
First Line : 3333 CONCOURS STE 8102
Second Line :
City : ONTARIO
State : CA
Zip : 91764-5522
Country : US
Telephone Number : 909-295-5805
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2021
Last Update Date : 05/27/2026

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Directions to “ ASHLEY MARIE YODER LCSW” Practice Location

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