Individual provider · Type 1 NPI

Ashley Y. Stallworth

Mental Health Counselor · Portland, OR

NPI number 1174377923 Active

Practice location

1050 SW 6th Ave Ste 1100
Portland, OR 97204-1153

Mailing address

1745 Journey Forth Trl
Wylie, TX 75098-0499

Other practice locations

  • 1745 Journey Forth Trl, Wylie, TX 75098-0499 · (601) 701-8054

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174377923

Ashley Y. Stallworth's National Provider Identifier is 1174377923, issued on Apr 16, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Apr 22, 2024.