Individual
ASHLEY MICHELLE FOSTER FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
103 LINCOLN DR, HODGENVILLE, KY 42748-9780
(270) 358-5860
Mailing address
103 LINCOLN DR, HODGENVILLE, KY 42748-9780
(270) 358-5860
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
257370
KY
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100859600
—
KY
Enumeration date
03/12/2020
Last updated
03/03/2023
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