| Doctor Name: | ASHLEY JUSTICE POORE |
| NPI Number: | 1487859351 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC |
| License Number: | 6619 |
| Business Practice Address: | 580 Upward Rd Unit 1 Flat Rock, NC - 287318592 |
| Business Phone Number: | 8286935757 |
| Business Fax Number: | 8286960952 |
| Mailing Address: | 580 Upward Rd, Unit 1 FLAT ROCK |
| State: | NC |
| Postal Code: | 287318592 |
| Phone Number: | 8286935757 |
| Fax Number: | 2826960952 |
| NPI Enumeration Date: | 06/19/2007 |
| NPI Last Update Date: | 10/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6619 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |