Individual
ASHLEY PORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
2039 MECKLENBURG HWY, MOORESVILLE, NC 28115-8574
(704) 765-2279
Mailing address
10315 WATOGA WAY, CORNELIUS, NC 28031-9016
(704) 765-2279
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17026
NC
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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