NPI 1407124704 · live from the CMS NPI Registry
Ashley Duea LLC
Marriage & Family Therapist in Yukon, OK. National Provider Identifier 1407124704, active.
NPI record
| NPI | 1407124704 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 530 Pointe Parkway Blvd, Ste B, Yukon, OK 73099 |
| Practice phone | 405-476-2916 |
| Mailing address | 410 Linda Ln, Yukon, OK 73099 |
| Enumerated | December 1, 2011 |
| Last updated | December 1, 2011 |
| Authorized official | Ashley Duea, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 969 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.