Individual
ASHLEY SHUMATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 MECHANIC ST, LEXINGTON, KY 40507-1086
(859) 231-9066
Mailing address
201 MECHANIC ST, LEXINGTON, KY 40507-1086
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
09/01/2016
Last updated
09/08/2016
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