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Individual

ASHLEY MACAUL MOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1718 CENTRAL PKWY, CINCINNATI, OH 45214-2355
(513) 467-2825
(513) 694-0168
Mailing address
6460 HARRISON AVE STE 200, CINCINNATI, OH 45247-7958
(513) 467-2825
(513) 694-0168

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.180930
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.185111
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0493679
OH
Enumeration date
06/27/2022
Last updated
12/04/2024
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