| Ashley Willson, Lpc Pc | |
|
506 S Washington St Kaufman TX 75142-2406 | |
| (972) 932-8898 | |
| (972) 932-8890 |
| Full Name | Ashley Willson, Lpc Pc |
|---|---|
| Speciality | Counselor |
| Location | 506 S Washington St, Kaufman, Texas |
| Authorized Official Name and Position | Ashley Willson (PRESIDENT) |
| Authorized Official Contact | 2145345997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Willson, Lpc Pc Po Box 2475 Forney TX 75126-2475 Ph: (214) 534-5997 | Ashley Willson, Lpc Pc 506 S Washington St Kaufman TX 75142-2406 Ph: (972) 932-8898 |
| NPI Number | 1033974431 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Medicare PECOS PAC ID | 4880132414 |
|---|---|
| Medicare Enrollment ID | O20240814003055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033974431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ashley R. Willson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023435765 PECOS PAC ID: 5799223327 Enrollment ID: I20240814003246 |
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