Most Relevant Information
Provider Data
| NPI Number: | 1003500604 |
| Provider Name: | ASHLEY RICHARD |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | SW21587 |
Most Important Dates
| Enumeration Date: | 06/06/2023 |
| Last Updated: | 06/06/2023 |
Provider Practice Location
2555 OAK TRL N APT 55202
CLEARWATER
FL
337647562
Practice Location Phone/Fax
| Phone: | 9133829492 |
| Fax: |
Provider Mailing Location
2555 OAK TRL N APT 55202
CLEARWATER
FL
337647562
Provider Mailing Phone/Fax
| Phone: | 9133829492 |
| Fax: |