MEDICARE: MRS. TIFFANY HUIZAR ASHENFELTER 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
1	101YP2500X	Professional Counselor	63016	TX

General Provider Information

NPI Number	:	1497033922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TIFFANY HUIZAR ASHENFELTER LPC

Provider Business Mailing Address
First Line	:	6600 LBJ FREEWAY
Second Line	:	STE 245
City	:	DALLAS
State	:	TX
Zip	:	75240-6514
Country	:	US
Telephone Number	:	214-563-8980
Fax Number	:

Provider Business Practice Location Address
First Line	:	6600 LBJ FREEWAY
Second Line	:	STE 245
City	:	DALLAS
State	:	TX
Zip	:	75240-6514
Country	:	US
Telephone Number	:	214-563-8980
Fax Number	:

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

Provider Enumeration Date	:	08/02/2011
Last Update Date	:	08/02/2011

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