Provider Demographics
NPI:1598507287
Name:BOWLING, ASHLEY RENE (CDCA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RENE
Last Name:BOWLING
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:JAZMINE
Other - Middle Name:JOSEPH
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CDCA
Mailing Address - Street 1:1137 KINKER DR APT C
Mailing Address - Street 2:
Mailing Address - City:WHEELERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45694-9255
Mailing Address - Country:US
Mailing Address - Phone:740-727-1598
Mailing Address - Fax:
Practice Address - Street 1:1137 KINKER DR APT C
Practice Address - Street 2:
Practice Address - City:WHEELERSBURG
Practice Address - State:OH
Practice Address - Zip Code:45694-9255
Practice Address - Country:US
Practice Address - Phone:740-727-1598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH186960101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty