Provider Demographics
NPI:1265655849
Name:ASHLOCK, GLENDA ELAINE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:GLENDA
Middle Name:ELAINE
Last Name:ASHLOCK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:291 STONEYBROOK LANE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-6097
Mailing Address - Country:US
Mailing Address - Phone:828-524-2991
Mailing Address - Fax:
Practice Address - Street 1:827 WILEY BROWN ROAD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28744
Practice Address - Country:US
Practice Address - Phone:828-349-0345
Practice Address - Fax:828-349-9685
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3988101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health