Provider Demographics
NPI:1528439569
Name:AHR, ADRIENNE
Entity type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:
Last Name:AHR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 S WOODROW LN
Mailing Address - Street 2:SUITE 500
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-6310
Mailing Address - Country:US
Mailing Address - Phone:940-765-6487
Mailing Address - Fax:
Practice Address - Street 1:109 S WOODROW LN
Practice Address - Street 2:SUITE 500
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-6310
Practice Address - Country:US
Practice Address - Phone:940-765-6487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-16
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health