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Contact Information

PATRICIA ASHLOCK, LMSW, LCAC
9415 E HARRY ST
SUITE 404
WICHITA, KS67207-5089
 Phone: 316-788-1664
 Fax: 316-788-1670
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for PATRICIA ASHLOCK · (Female)

NPI # 1801328307
Status Active
Credentials LMSW, LCAC
Entity Individual
Enumeration date 04/03/2017
Last updated 04/03/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 259
  • KS License # 5536
  • KS Medicaid 200623440A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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