NPI 1740756014

Ashley Nicole Clark, PREVENTIONSPECIALIS

Practitioner Prevention Professional Ashland, KY

Practice location

Address: 1212 Bath Ave Fl 8, Ashland, KY 41101-2696
Phone: (606) 329-8588
Mailing address: PO Box 790, Ashland, KY 41105-0790

Registered specialties (2)

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence NOTCERTIFIED (KY)

Other Prevention Professional providers in Kentucky →

Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1740756014
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Oct 2018
Record last updated: 14 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.