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NPI Code Detail

MEDICARE: ASHLEE FAYE LAMB

MEDICARE: ASHLEE FAYE LAMB
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 Counselor111111IN
2101Y00000XCounselor111111IN

General Provider Information

NPI Number : 1992415640
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEE FAYE LAMB
Provider Business Mailing Address
First Line : 1015 MYRTLE AVE
Second Line :
City : WHITING
State : IN
Zip : 46394-1328
Country : US
Telephone Number : 330-634-3019
Fax Number :
Provider Business Practice Location Address
First Line : 2005 VALPARAISO ST STE 209
Second Line :
City : VALPARAISO
State : IN
Zip : 46383-3331
Country : US
Telephone Number : 219-252-5464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2022
Last Update Date : 12/02/2022

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Directions to “ ASHLEE FAYE LAMB ” Practice Location

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