Provider Demographics
NPI:1578264230
Name:BLANCHARD, ASHLEY (LCPC-C)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:BLANCHARD
Suffix:
Gender:F
Credentials:LCPC-C
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:28 ALLISON LN
Mailing Address - Street 2:
Mailing Address - City:GORHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04038-2353
Mailing Address - Country:US
Mailing Address - Phone:207-949-0658
Mailing Address - Fax:
Practice Address - Street 1:28 ALLISON LN
Practice Address - Street 2:
Practice Address - City:GORHAM
Practice Address - State:ME
Practice Address - Zip Code:04038-2353
Practice Address - Country:US
Practice Address - Phone:207-949-0658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL6977101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health