Provider Information for 1821764580
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ASHLEY KINGSTON MS, LCPC, LPC, NCC
Sex: Female
NPI: 1821764580
Last Updated: 2021-12-09
Certification Date: 2021-12-09
Certification Date: 2021-12-09
Details
| Name | Value | ||||||||||||
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| NPI | 1821764580 | ||||||||||||
| Enumeration Date | 2021-08-20 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1864 GEORGIA AVE BUTTE, MT 59701-5449 United States Phone: 406-490-3868 | Fax: | ||||||||||||
| Primary Practice Address | 1864 GEORGIA AVE BUTTE, MT 59701-5449 United States Phone: 406-490-3868 | Fax: | ||||||||||||
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