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General NPI Number Information
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NPI Number | 1770492449
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Entity Type | Organization
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Legal Business Name | ASHLEY KREKE COUNSELING AND PLAY THERAPY, PLLC
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 2201 WILLENBORG ST STE 3
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City | EFFINGHAM
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State | IL
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Zip | 62401-4685
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Country | US
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Telephone | 217-360-7513
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 WILLENBORG ST STE 3
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City | EFFINGHAM
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State | IL
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Zip | 62401-4685
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Country | US
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Telephone | 217-360-7513
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY KREKE
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Credential | LCPC, RPT
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Telephone | 217-360-7513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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