Diedrich, Ashley Jessica

Diedrich, Ashley Jessica is an sole proprietor health care provider with primary practice located at 609 E Hartford Ave , Ponca City OK 74601-2006. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Diedrich, Ashley Jessica can be contacted via phone (580) 765-0030.

Contact Information

Primary practice address
609 E Hartford Ave Ponca City OK 74601-2006
Phone: (580) 765-0030
Fax: (580) 765-0073
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X 6314 Oklahoma

Profile Details

NPI number 1124387329
LBN Legal business name Diedrich, Ashley Jessica
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2012
Last updated Mar 29th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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