Provider Demographics
NPI:1598463689
Name:PHILLIPS, ASHLEY ELIZABETH JEFFRIES (LPCC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ELIZABETH JEFFRIES
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:ELIZABETH
Other - Last Name:JEFFRIES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:92 VIA VENTURA
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4341
Mailing Address - Country:US
Mailing Address - Phone:678-633-9285
Mailing Address - Fax:
Practice Address - Street 1:92 VIA VENTURA
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4341
Practice Address - Country:US
Practice Address - Phone:678-633-9285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-20
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13081101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional