Individual
ASHLI EAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
1814 8TH AVE, FORT WORTH, TX 76110-1354
(972) 955-1436
Mailing address
4826 PERSHING AVE, FORT WORTH, TX 76107-4930
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
78957
TX
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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