Individual
ASHLEY ELIZABETH MCCORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
718 WORKMAN ST, BAKERSFIELD, CA 93307-6800
(661) 859-5102
Mailing address
718 WORKMAN ST, BAKERSFIELD, CA 93307-6800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW67225
CA
1041C0700X
Clinical Social Worker
Primary
LCSW81104
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568219855
KERN ADULT PHF
—
Enumeration date
08/21/2015
Last updated
11/07/2024
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