Provider Demographics
NPI:1649603101
Name:WASHINGTON, ASHLEY C
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:C
Last Name:WASHINGTON
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 1:1234 GREENBRIAR LN
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75146-1362
Mailing Address - Country:US
Mailing Address - Phone:469-364-0261
Mailing Address - Fax:
Practice Address - Street 1:1234 GREENBRIAR LN
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-1362
Practice Address - Country:US
Practice Address - Phone:469-364-0261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-19
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health