Most Relevant Information
Provider Data
NPI Number: | 1003481243 |
Provider Name: | ASHLEY AMY MAY PICKARD RAC |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 05/20/2021 |
Last Updated: | 05/20/2021 |
Provider Practice Location
133 N F ST
LOMPOC
CA
934366033
Practice Location Phone/Fax
Phone: | 8057357525 |
Fax: |
Provider Mailing Location
133 N F ST
LOMPOC
CA
934366033
Provider Mailing Phone/Fax
Phone: | 8057357525 |
Fax: |