MEDICARE: ASHLEE COMEAU MS

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
1	101YM0800X	Mental Health Counselor	HM10878	FL

General Provider Information

NPI Number	:	1336424944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEE COMEAU MS

Provider Business Mailing Address
First Line	:	8728 WOODGROVE HARBOR LN
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33473-4840
Country	:	US
Telephone Number	:	561-656-1006
Fax Number	:	561-656-1006

Provider Business Practice Location Address
First Line	:	8728 WOODGROVE HARBOR LN
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33473-4840
Country	:	US
Telephone Number	:	561-656-1006
Fax Number	:	561-656-1006

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2011
Last Update Date	:	10/14/2011

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