Provider Demographics
NPI:1659882769
Name:ROST, ASHLYN (LPC)
Entity Type:Individual
Prefix:
First Name:ASHLYN
Middle Name:
Last Name:ROST
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 1:342 EGG HARBOR RD STE B
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-1856
Mailing Address - Country:US
Mailing Address - Phone:856-589-3420
Mailing Address - Fax:
Practice Address - Street 1:15 ROSETREE LN
Practice Address - Street 2:
Practice Address - City:WEST DEPTFORD
Practice Address - State:NJ
Practice Address - Zip Code:08096-6354
Practice Address - Country:US
Practice Address - Phone:856-341-0764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-16
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00380700101Y00000X
NJ37PC00873100101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
461939858OtherARTEMIS CENTER FOR GUIDANCE, LLC