Ashley Caroline Wombacher
Individual provider Active NPI Counselor · Hoyleton, IL
NPI 1003250804 · NPPES record last updated Apr 23, 2013
Key facts
- NPI
- 1003250804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 350 N Main St
Hoyleton, IL 62803-2006 - Phone
- (618) 493-7382
- Fax
- (618) 493-6390
- NPI assigned
- Apr 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
350 N Main St
Hoyleton, IL 62803-2006
Mailing address
350 N Main St
P.O. Box 218
Hoyleton, IL 62803-2006
Phone (618) 493-7382
Other providers in Hoyleton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.