Doctor Name: | TRACEY ASHCRAFT |
NPI Number: | 1649532672 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., L.P.C. |
License Number: | 5425 |
Business Practice Address: | 548 Mountain Ave Berthoud, CO - 80513 |
Business Phone Number: | 3036685995 |
Business Fax Number: | |
Mailing Address: | 75 Manhattan Dr, Suite 206 BOULDER |
State: | CO |
Postal Code: | 803034254 |
Phone Number: | 3036685995 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2012 |
NPI Last Update Date: | 01/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 5425 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |