Individual
ASHTON LOCKLEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 E 3RD ST, PEMBROKE, NC 28372-7991
(910) 521-7461
(910) 521-7463
Mailing address
116 BARTON RD, MAXTON, NC 28364-8604
(191) 070-3112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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