| Doctor Name: | MARY ASHBURN |
| NPI Number: | 1326422536 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | MFTMFA00216531 |
| Business Practice Address: | 215 N Allison Ave Barbourville, KY - 409061336 |
| Business Phone Number: | 6065469287 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1150, 215 N. Allison Avenue BARBOURVILLE |
| State: | KY |
| Postal Code: | 40906 |
| Phone Number: | 6065469287 |
| Fax Number: | |
| NPI Enumeration Date: | 07/17/2015 |
| NPI Last Update Date: | 07/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | MFTMFA00216531 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |