Provider Demographics
NPI:1396403069
Name:JEFFERY, ASHLIE (LPC)
Entity Type:Individual
Prefix:
First Name:ASHLIE
Middle Name:
Last Name:JEFFERY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6700 VERITAS WAY APT 2C
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23234-6170
Mailing Address - Country:US
Mailing Address - Phone:516-643-0442
Mailing Address - Fax:
Practice Address - Street 1:6700 VERITAS WAY APT 2C
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23234-6170
Practice Address - Country:US
Practice Address - Phone:516-643-0442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health