Individual
CHARLENE ASHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1271 N MAIN ST, VIDOR, TX 77662-3740
(409) 673-7570
(409) 769-8914
Mailing address
1271 N MAIN ST, VIDOR, TX 77662-3740
(409) 673-7570
(409) 769-8914
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
85189
TX
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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