Provider Demographics
NPI:1376022335
Name:DASHER, JENNIFER REYNOLDS (LPCA)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:REYNOLDS
Last Name:DASHER
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 LONG SHOALS RD APT 12B
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-7755
Mailing Address - Country:US
Mailing Address - Phone:828-424-1606
Mailing Address - Fax:
Practice Address - Street 1:417 BILTMORE AVE STE 4B
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4541
Practice Address - Country:US
Practice Address - Phone:828-281-2299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-10
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA14109101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health