Provider Demographics
NPI:1679338701
Name:BROOKSHER, ASHLEY MEGAN
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:MEGAN
Last Name:BROOKSHER
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 1:18135 PRESTON ST
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-7158
Mailing Address - Country:US
Mailing Address - Phone:760-963-6526
Mailing Address - Fax:
Practice Address - Street 1:18135 PRESTON ST
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-7158
Practice Address - Country:US
Practice Address - Phone:760-963-6548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA294851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical