Individual
GUY BRENT ASHMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7464 W SAHARA AVE, LAS VEGAS, NV 89117-2740
(702) 219-7068
Mailing address
7464 W SAHARA AVE, LAS VEGAS, NV 89117-2740
(702) 219-7068
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9759-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250013402
—
NV
01
—
9759-C
LICENSED CLINICAL SOCIAL WORKER
NV
Enumeration date
08/22/2017
Last updated
02/01/2025
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