Doctor Name: | ASHTON EVERHART |
NPI Number: | 1174987994 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC-A, LCAS-A, NCC |
License Number: | LCAS-22522 |
Business Practice Address: | 7000 Cross Hook Ct Summerfield, NC - 273589507 |
Business Phone Number: | 3366016374 |
Business Fax Number: | |
Mailing Address: | 7000 Cross Hook Ct, SUMMERFIELD |
State: | NC |
Postal Code: | 273589507 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/07/2016 |
NPI Last Update Date: | 04/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LCAS-22522 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |