Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 70849 | TX |
NPI | 1003277815 |
---|---|
Provider Name | Ashley Cargile |
First Address | Waco, TX 76703-0890 |
Second Address | Waco, TX 76701-1810 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2016 |
Last Update Date | 08/03/2016 |