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NPI Code Detail

MEDICARE: ASHLEY N TOTAH

MEDICARE: ASHLEY N TOTAH
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
11041C0700XClinical Social Worker124089CA
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1174810063
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY N TOTAH
Provider Business Mailing Address
First Line : 7680 SANTA YNEZ AVE
Second Line :
City : ATASCADERO
State : CA
Zip : 93422-4072
Country : US
Telephone Number : 925-787-4529
Fax Number :
Provider Business Practice Location Address
First Line : 1585 KANSAS AVE
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93405-7604
Country : US
Telephone Number : 805-781-4891
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2011
Last Update Date : 04/07/2025

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Directions to “ ASHLEY N TOTAH ” Practice Location

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