Provider Demographics
NPI:1093090623
Name:WEBER, ASHLEE JO (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEE
Middle Name:JO
Last Name:WEBER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1052 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-6157
Mailing Address - Country:US
Mailing Address - Phone:563-213-5050
Mailing Address - Fax:563-726-7341
Practice Address - Street 1:1052 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-6157
Practice Address - Country:US
Practice Address - Phone:563-213-5050
Practice Address - Fax:563-726-7341
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-14
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001431101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health