Individual
MRS. ASHLEY BLYTHE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1517 AVENUE C, KATY, TX 77493-1903
(832) 463-3711
Mailing address
10518 JUSTIN RIDGE RD, KATY, TX 77494-1880
(281) 906-1397
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203713
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203713
MARRIAGE AND FAMILY THERAPY LICENSE NUMBER
TX
Enumeration date
09/29/2022
Last updated
09/29/2022
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