Provider Demographics
NPI:1154625200
Name:ASHMORE, STEVEN MICHAEL (LPC SAC)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:MICHAEL
Last Name:ASHMORE
Suffix:
Gender:M
Credentials:LPC SAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:392 RED CEDAR ST STE 3B
Mailing Address - Street 2:
Mailing Address - City:MENOMONIE
Mailing Address - State:WI
Mailing Address - Zip Code:54751-2338
Mailing Address - Country:US
Mailing Address - Phone:715-231-2010
Mailing Address - Fax:715-235-5559
Practice Address - Street 1:392 RED CEDAR ST STE 3B
Practice Address - Street 2:
Practice Address - City:MENOMONIE
Practice Address - State:WI
Practice Address - Zip Code:54751-2338
Practice Address - Country:US
Practice Address - Phone:715-231-2010
Practice Address - Fax:715-231-2070
Is Sole Proprietor?:No
Enumeration Date:2011-01-04
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4788-125101YM0800X
WI15613-131101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)