Provider Demographics
NPI:1659828135
Name:ASHBY, CAMAREE ALEXANDRIA
Entity Type:Individual
Prefix:
First Name:CAMAREE
Middle Name:ALEXANDRIA
Last Name:ASHBY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:485 N 2170 W APT J21
Mailing Address - Street 2:
Mailing Address - City:HURRICANE
Mailing Address - State:UT
Mailing Address - Zip Code:84737-1318
Mailing Address - Country:US
Mailing Address - Phone:435-590-8980
Mailing Address - Fax:
Practice Address - Street 1:1500 E 2700 S
Practice Address - Street 2:
Practice Address - City:HURRICANE
Practice Address - State:UT
Practice Address - Zip Code:84737-4000
Practice Address - Country:US
Practice Address - Phone:435-590-8980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NV1659828135106H00000X
NVMI904106H00000X
UT1194232-3904106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health