Provider Demographics
NPI:1437487220
Name:ASCHENBRENNER, KELLEY G (LPC)
Entity Type:Individual
Prefix:MS
First Name:KELLEY
Middle Name:G
Last Name:ASCHENBRENNER
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 1:10085 KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:KING GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:22485-3445
Mailing Address - Country:US
Mailing Address - Phone:540-656-0051
Mailing Address - Fax:540-693-2668
Practice Address - Street 1:10085 KINGS HWY
Practice Address - Street 2:
Practice Address - City:KING GEORGE
Practice Address - State:VA
Practice Address - Zip Code:22485-3445
Practice Address - Country:US
Practice Address - Phone:540-656-0051
Practice Address - Fax:540-693-2668
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-07
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004715101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional