Individual
ASHLEE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 S BROADWAY ST, POTEAU, OK 74953-3834
(918) 647-9629
Mailing address
804 S BROADWAY ST, POTEAU, OK 74953-3834
(918) 647-9629
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
06962
OK
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000
—
OK
05
—
200692320A
—
OK
Enumeration date
02/28/2017
Last updated
08/13/2025
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