Provider Demographics
NPI:1346894219
Name:ASHCRAFT, ALICIA (BA)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:ASHCRAFT
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:
Other - Last Name:KNIPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:316 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD
Mailing Address - State:KY
Mailing Address - Zip Code:40351-1622
Mailing Address - Country:US
Mailing Address - Phone:606-585-7685
Mailing Address - Fax:
Practice Address - Street 1:316 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MOREHEAD
Practice Address - State:KY
Practice Address - Zip Code:40351-1622
Practice Address - Country:US
Practice Address - Phone:606-585-7685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-30
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1041C0700X104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker