Individual
ASHLEY CLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA, NCC
Contact information
Practice address
155 BLACKBURN WIKE RD, HICKORY, NC 28601-8169
(828) 302-5662
Mailing address
155 BLACKBURN WIKE RD, HICKORY, NC 28601-8169
(828) 302-5662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A18011
NC
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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