Provider Demographics
NPI:1518084821
Name:KUEHNE, ASHLEY GOLD (LPC, LCDC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:GOLD
Last Name:KUEHNE
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14114 DALLAS PKWY
Mailing Address - Street 2:SUITE 245
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-4325
Mailing Address - Country:US
Mailing Address - Phone:972-774-9595
Mailing Address - Fax:972-661-9209
Practice Address - Street 1:14114 DALLAS PKWY
Practice Address - Street 2:SUITE 245
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-4325
Practice Address - Country:US
Practice Address - Phone:972-774-9595
Practice Address - Fax:972-661-9209
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9591101YA0400X
TX19138101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)