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General NPI Number Information
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NPI Number | 1265826937
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Entity Type | Individual
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Provider Name | ASHLEY BROOKS MCINTOSH
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Gender | Female
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Dates
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Enumeration Date | 03/20/2015
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 5715 UTAH TRL
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City | TWENTYNINE PALMS
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State | CA
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Zip | 92277-6917
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Country | US
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Telephone | 760-367-9191
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Fax |
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Provider Business Mailing Address
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Address Line | 7408 BARBERRY AVE
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-3715
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Country | US
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Telephone | 404-904-3570
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPCC16724
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License Number State | CA
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