Individual
ASHTON EZERNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
265 HIGHLAND DRIVE, MANY, LA 71449-3717
(318) 256-4119
(318) 256-4171
Mailing address
265 HIGHLAND DRIVE, MANY, LA 71449-3717
(318) 256-4119
(318) 256-4171
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710601
—
LA
Enumeration date
10/06/2011
Last updated
01/02/2013
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