Ashley Borum
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Modesto, CA
NPI 1154067189 · NPPES record last updated Mar 9, 2023
Key facts
- NPI
- 1154067189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 1235 McHenry Ave Ste a&B
Modesto, CA 95350-5370 - Phone
- (209) 527-4597
- NPI assigned
- May 11, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Treatment Centers, LLC | Past |
Accepting new patients | |
| Aegis Treatment Centers, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
1235 McHenry Ave Ste a&B
Modesto, CA 95350-5370
Mailing address
2215 Tidewind Dr
Stockton, CA 95206-4968
Other providers in Modesto, CA
- Mialani Borja
- McKenzie Borland
- Bibi Borlish
- Lucie Frederique Bornmann
- David Borofka
- Pulkit Sawroop Bose
- Raeme Evelyn Bosquez
- Jennifer Boss Kinser
- Taryn Lynette Boss Kinser
- Brianna Bossard
All providers in Modesto, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2023. 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.