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General NPI Number Information
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NPI Number | 1639054596
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Entity Type | Individual
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Provider Name | WILLIAM BRAD ASHLEY LPC-A
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Gender | Male
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Dates
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Enumeration Date | 08/09/2025
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Last Update Date | 08/09/2025
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Provider Practice Location Address
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Address Line | 550 S WATTERS RD STE 239
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City | ALLEN
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State | TX
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Zip | 75013-5229
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Country | US
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Telephone | 972-800-5195
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Fax |
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Provider Business Mailing Address
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Address Line | 1181 ROWLEY MILE
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City | FAIRVIEW
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State | TX
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Zip | 75069-8845
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Country | US
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Telephone | 972-800-5195
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 97326
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License Number State | TX
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