Provider Demographics
NPI:1467094151
Name:CRISPO, ASHLEE NIKOL (MS, APCC, AMFT)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEE
Middle Name:NIKOL
Last Name:CRISPO
Suffix:
Gender:F
Credentials:MS, APCC, AMFT
Other - Prefix:MISS
Other - First Name:ASHLEE
Other - Middle Name:NIKOL
Other - Last Name:SKENDROVICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 N TUSTIN AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3879
Mailing Address - Country:US
Mailing Address - Phone:714-949-0228
Mailing Address - Fax:
Practice Address - Street 1:714 MORSE AVE
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-3504
Practice Address - Country:US
Practice Address - Phone:714-572-0175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-14
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11162101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health