Doctor Name: | STEVEN MICHAEL ASHMORE |
NPI Number: | 1154625200 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC SAC |
License Number: | 15613-131 |
Business Practice Address: | 700 Wolske Bay Rd Menomonie, WI - 547511612 |
Business Phone Number: | 7152355557 |
Business Fax Number: | 7152355559 |
Mailing Address: | 700 Wolske Bay Road, MENOMONIE |
State: | WI |
Postal Code: | 547511965 |
Phone Number: | 7152355557 |
Fax Number: | 7152355559 |
NPI Enumeration Date: | 01/04/2011 |
NPI Last Update Date: | 08/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 15613-131 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |