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General NPI Number Information
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NPI Number | 1093169989
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Entity Type | Individual
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Provider Name | ASHLEY A WORMLEY MS, LPCC
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Gender | Female
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Dates
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Enumeration Date | 04/18/2016
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 3095 KETTERING BLVD
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City | MORAINE
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State | OH
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Zip | 45439-1983
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Country | US
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Telephone | 937-293-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 3095 KETTERING BLVD
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City | MORAINE
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State | OH
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Zip | 45439-1983
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Country | US
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Telephone | 937-293-8300
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.2001686
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC01101800
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC16815
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 20668
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC019020
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License Number State | PA
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