Fred Atlee Ashworth Jr.

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Huntington, WV

NPI 1346900511 · NPPES record last updated Dec 29, 2021

Key facts

NPI
1346900511
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
135 4TH Ave
Huntington, WV 25701-1219
Phone
(304) 525-5691
Fax
(304) 525-5693
NPI assigned
Dec 29, 2021
Sex
Male
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

135 4TH Ave
Huntington, WV 25701-1219

Mailing address

11296 State Route 93
Pedro, OH 45659-8853
Phone (740) 533-7918

Other providers in Huntington, WV

All providers in Huntington, WV · Addiction (Substance Use Disorder) Counselor in West Virginia

Sources for this page

Verify at the official NPI Registry.