Provider Demographics
NPI:1346851359
Name:MAAG, ASHLEY (LPC-MHSP, NCC,CRC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:MAAG
Suffix:
Gender:F
Credentials:LPC-MHSP, NCC,CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 N ROBERTS RD NW APT 1223
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-3772
Mailing Address - Country:US
Mailing Address - Phone:404-444-7892
Mailing Address - Fax:
Practice Address - Street 1:1650 N ROBERTS RD NW APT 1223
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-3772
Practice Address - Country:US
Practice Address - Phone:404-444-7892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5856101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health