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NPI Code Detail

MEDICARE: MRS. JESSICA MAY WILLIAMS-ASHMORE MA, LPC

MEDICARE: MRS. JESSICA MAY WILLIAMS-ASHMORE MA, LPC
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
1101YP2500XProfessional Counselor3441LA

General Provider Information

NPI Number : 1053450486
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JESSICA MAY WILLIAMS-ASHMORE MA, LPC
Provider Business Mailing Address
First Line : 106 W PORT ST
Second Line :
City : DERIDDER
State : LA
Zip : 70634-4040
Country : US
Telephone Number : 337-462-1641
Fax Number :
Provider Business Practice Location Address
First Line : 106 W PORT ST
Second Line :
City : DERIDDER
State : LA
Zip : 70634-4040
Country : US
Telephone Number : 337-462-1641
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2007
Last Update Date : 09/09/2014

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