| Ashley R. Dagner, Lcpc, Pllc | |
|
706 Oglesby Ave Ste 112 Normal IL 61761-4618 | |
| (815) 242-7687 | |
| Not Available |
| Full Name | Ashley R. Dagner, Lcpc, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 706 Oglesby Ave Ste 112, Normal, Illinois |
| Authorized Official Name and Position | Ashley R. Dagner (OWNER) |
| Authorized Official Contact | 8159942190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley R. Dagner, Lcpc, Pllc 805 S Lee St Bloomington IL 61701-6458 Ph: (815) 994-2190 | Ashley R. Dagner, Lcpc, Pllc 706 Oglesby Ave Ste 112 Normal IL 61761-4618 Ph: (815) 242-7687 |
| NPI Number | 1356146799 |
|---|---|
| Provider Enumeration Date | 02/18/2025 |
| Last Update Date | 02/18/2025 |
| Certification Date | 02/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356146799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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