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NPI Code Detail

MEDICARE: AARON MICHAEL ASHWORTH MA, LPC, CMIII

MEDICARE:   AARON MICHAEL ASHWORTH  MA, LPC, CMIII
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP1600XPastoral Counselor
2171M00000XCase Manager/Care Coordinator
3101YM0800XMental Health Counselor
4405300000XPrevention Professional7016OK
5101YP2500XProfessional Counselor7016OK

General Provider Information

NPI Number : 1710344775
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON MICHAEL ASHWORTH MA, LPC, CMIII
Provider Business Mailing Address
First Line : 1812 W PHOENIX PL
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74011-1624
Country : US
Telephone Number : 918-557-8789
Fax Number :
Provider Business Practice Location Address
First Line : 8211 E REGAL PL STE 100
Second Line :
City : TULSA
State : OK
Zip : 74133-7181
Country : US
Telephone Number : 918-557-8789
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2016
Last Update Date : 02/21/2020

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Directions to “ AARON MICHAEL ASHWORTH MA, LPC, CMIII” Practice Location

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