MEDICARE: ASHLEY S HOUGH LMFT

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	106H00000X	Marriage & Family Therapist	MFT-449	HI

General Provider Information

NPI Number	:	1386025112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY S HOUGH LMFT

Provider Business Mailing Address
First Line	:	2027 ULUPAU LOOP
Second Line	:
City	:	KAILUA
State	:	HI
Zip	:	96734-4761
Country	:	US
Telephone Number	:	808-228-5775
Fax Number	:

Provider Business Practice Location Address
First Line	:	1833 KALAKAUA AVE STE 800
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96815-1528
Country	:	US
Telephone Number	:	808-228-5775
Fax Number	:

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

Provider Enumeration Date	:	06/17/2015
Last Update Date	:	02/11/2019

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