Provider Demographics
NPI:1548507346
Name:NADEAU, ASHLEY ELIZABETH (LMFT)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:ELIZABETH
Last Name:NADEAU
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WEST RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ELLINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06029-3798
Mailing Address - Country:US
Mailing Address - Phone:860-454-0520
Mailing Address - Fax:860-454-8469
Practice Address - Street 1:100 WEST RD
Practice Address - Street 2:SUITE 3
Practice Address - City:ELLINGTON
Practice Address - State:CT
Practice Address - Zip Code:06029-3798
Practice Address - Country:US
Practice Address - Phone:860-454-0520
Practice Address - Fax:860-454-8469
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001414106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist