Individual
PHILLIP M ASHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1070 RIVERWALK DR, STE 258, IDAHO FALLS, ID 83402-3343
(208) 325-0310
Mailing address
1070 RIVERWALK DR, STE 258, IDAHO FALLS, ID 83402-3343
(208) 325-0310
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
38035
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-38035
ID
Other
Enumeration date
06/06/2023
Last updated
08/08/2024
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