Organization
CALICHE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY ALLCORN LCSW (LICENSED CLINICAL SOCIAL WORKER)
(806) 337-0782
Entity
Organization
Contact information
Practice address
2309 SW 7TH AVE, AMARILLO, TX 79106-6601
(806) 337-0782
Mailing address
2309 SW 7TH AVE, AMARILLO, TX 79106-6601
(806) 337-0782
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790325819
NPI
—
Enumeration date
07/21/2021
Last updated
07/21/2021
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