Provider Demographics
NPI:1497815344
Name:ASHLEY, JUDI LYNN (MA LMFT CAC LLL)
Entity Type:Individual
Prefix:
First Name:JUDI
Middle Name:LYNN
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:MA LMFT CAC LLL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 MOUNTAIN VIEW AVE STE 109
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-3420
Mailing Address - Country:US
Mailing Address - Phone:303-682-9473
Mailing Address - Fax:303-682-9474
Practice Address - Street 1:548 MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:BERTHOUD
Practice Address - State:CO
Practice Address - Zip Code:80513
Practice Address - Country:US
Practice Address - Phone:303-682-9473
Practice Address - Fax:303-682-9474
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3703174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist