Healthcare Provider Details

I. General information

NPI: 1982928974
Provider Name (Legal Business Name): CHRISTINE LYNN ASH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2010
Last Update Date: 03/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2435 N CASTRO AVE
TUCSON AZ
85705-5060
US

IV. Provider business mailing address

2930 E 8TH ST
TUCSON AZ
85716-5248
US

V. Phone/Fax

Practice location:
  • Phone: 520-622-8030
  • Fax:
Mailing address:
  • Phone: 520-325-0488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-2635
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: