Provider Demographics
NPI:1629367461
Name:WENDLAND, ASHLEY DEE (LPC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:DEE
Last Name:WENDLAND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 N 1ST AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SANDPOINT
Mailing Address - State:ID
Mailing Address - Zip Code:83864-1436
Mailing Address - Country:US
Mailing Address - Phone:307-267-2167
Mailing Address - Fax:
Practice Address - Street 1:212 N 1ST AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:SANDPOINT
Practice Address - State:ID
Practice Address - Zip Code:83864-1436
Practice Address - Country:US
Practice Address - Phone:307-267-2167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID4235101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional