MEDICARE: MRS. DIANE LEIGH ASHMORE M.S., 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	101YP2500X	Professional Counselor	MFC23823	CA

General Provider Information

NPI Number	:	1558307009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DIANE LEIGH ASHMORE M.S., LMFT

Provider Business Mailing Address
First Line	:	264 CLOVIS AVE
Second Line	:
City	:	CLOVIS
State	:	CA
Zip	:	93612-1115
Country	:	US
Telephone Number	:	559-324-6658
Fax Number	:	559-294-8711

Provider Business Practice Location Address
First Line	:	264 CLOVIS AVE
Second Line	:
City	:	CLOVIS
State	:	CA
Zip	:	93612-1115
Country	:	US
Telephone Number	:	559-324-6658
Fax Number	:	559-294-8711

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

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	07/21/2022

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