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NPI Code Detail

MEDICARE: CHELSEA LYNN ASHTON LCDC-I

MEDICARE: CHELSEA LYNN ASHTON LCDC-I
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
1101YA0400XAddiction (Substance Use Disorder) Counselor40449TX

General Provider Information

NPI Number : 1174003057
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA LYNN ASHTON LCDC-I
Provider Business Mailing Address
First Line : 3553 W HOUSTON HARTE EXPY
Second Line :
City : SAN ANGELO
State : TX
Zip : 76901-2664
Country : US
Telephone Number : 325-224-3481
Fax Number :
Provider Business Practice Location Address
First Line : 3553 W HOUSTON HARTE EXPY
Second Line :
City : SAN ANGELO
State : TX
Zip : 76901-2664
Country : US
Telephone Number : 325-224-3481
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2018
Last Update Date : 08/20/2018

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