Individual
MS. PATRICIA ASHLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, LCAC
Contact information
Practice address
9415 E HARRY ST, SUITE 404, WICHITA, KS 67207-5089
(316) 788-1664
(316) 788-1670
Mailing address
9415 E HARRY ST, SUITE 404, WICHITA, KS 67207-5089
(316) 788-1664
(316) 788-1670
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
259
KS
101YM0800X
Mental Health Counselor
Primary
5536
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200623440A
—
KS
Enumeration date
04/03/2017
Last updated
04/03/2017
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