Provider Demographics
NPI:1508189366
Name:COULON, ASHLEY C (MA, ATR-BC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:C
Last Name:COULON
Suffix:
Gender:F
Credentials:MA, ATR-BC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3604 LITTLEDALE RD
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-3434
Mailing Address - Country:US
Mailing Address - Phone:207-332-8567
Mailing Address - Fax:
Practice Address - Street 1:3604 LITTLEDALE RD
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-3434
Practice Address - Country:US
Practice Address - Phone:207-332-8567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-09
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor