Individual
DR. GERALD BLAKE ASHLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
14400 MONTFORT DR, APT 1605, DALLAS, TX 75254
(972) 387-4434
Mailing address
14400 MONTFORT DR APT 1605, DALLAS, TX 75254-8460
(121) 468-3257
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
19441
FL
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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