Individual
AARON MICHAEL ASHWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, CMIII
Contact information
Practice address
8211 E REGAL PL STE 100, TULSA, OK 74133-7181
(918) 557-8789
Mailing address
1812 W PHOENIX PL, BROKEN ARROW, OK 74011-1624
(918) 557-8789
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
7016
OK
171M00000X
Case Manager/Care Coordinator
—
—
405300000X
Prevention Professional
7016
OK
Other
Enumeration date
01/21/2016
Last updated
02/21/2020
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