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Individual

ASHLY A TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
335588 E 750 RD, PERKINS, OK 74059-3268
(405) 547-4363
Mailing address
335588 E 7500 RD, PERKINS, OK 74059-3204
(405) 547-4363

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor
1384
OK
101YM0800X
Mental Health Counselor
4611
OK

Other

Enumeration date
03/26/2009
Last updated
09/23/2024
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