MEDICARE: ASHLEY AZUBUIKE

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
1	101YP2500X	Professional Counselor	0701016008	VA

General Provider Information

NPI Number	:	1366282543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY AZUBUIKE

Provider Business Mailing Address
First Line	:	8804 PATTERSON AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23229-6361
Country	:	US
Telephone Number	:	804-592-6311
Fax Number	:

Provider Business Practice Location Address
First Line	:	8804 PATTERSON AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23229-6361
Country	:	US
Telephone Number	:	804-592-6311
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2024
Last Update Date	:	03/19/2026

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Directions to “ ASHLEY AZUBUIKE ” Practice Location

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