Courtney Ashley, LAC

Individual provider Active NPI Professional Counselor · Rogers, AR

NPI 1124372552 · NPPES record last updated Feb 29, 2016

Key facts

NPI
1124372552
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
P1512133 (AR)
Practice address
1200 W Walnut St
Rogers, AR 72756-3521
Phone
(479) 750-2020
Fax
(479) 750-8967
NPI assigned
Nov 7, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P1512133ARMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P1512133 AR Yes

Addresses

Primary practice location

1200 W Walnut St
Rogers, AR 72756-3521

Mailing address

1200 W Walnut St
Rogers, AR 72756-3521
Phone (479) 750-2020

Other providers in Rogers, AR

All providers in Rogers, AR · Professional Counselor in Arkansas

Sources for this page

Verify at the official NPI Registry.