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Provider Information for 1912088469


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Mr. BERNARD ASHLOCK LCPC, LIMHP, LPC


Sex: Male

NPI: 1912088469
Last Updated: 2024-01-10
Certification Date: 2024-01-10

Details

NameValue
NPI1912088469
Enumeration Date2006-10-18
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 5835 SW 28TH TER
TOPEKA, KS 66614-2423
United States

Phone: 202-727-6826 | Fax:
 
Primary Practice Address 805 NEW HAMPSHIRE ST STE C
LAWRENCE, KS 66044-2774
United States

Phone: 785-214-4012 | Fax:785-212-4015
 
Secondary Practice Address(es)

5835 SW 28TH TER
TOPEKA, KS 66614-2423
United States

Phone: 202-727-6826 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental HealthNE2893
Yes 101YM0800X - Counselor - Mental HealthKSLCPC 059
No 101YM0800X - Counselor - Mental HealthNE3543