Healthcare Provider Details

I. General information

NPI: 1811840119
Provider Name (Legal Business Name): MRS. ASHLYN RAE HIXSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2026
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 W BULLARD AVE
CLOVIS CA
93612-0900
US

IV. Provider business mailing address

3064 S ALTA AVE
REEDLEY CA
93654-9753
US

V. Phone/Fax

Practice location:
  • Phone: 559-203-3775
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number149931
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: