Provider Demographics
NPI:1689806853
Name:NAVARRE, ASHLEY L (LPC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:L
Last Name:NAVARRE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:L
Other - Last Name:BULLARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1248 FOREST GREEN DR
Mailing Address - Street 2:
Mailing Address - City:KENNEDALE
Mailing Address - State:TX
Mailing Address - Zip Code:76060-2853
Mailing Address - Country:US
Mailing Address - Phone:817-845-9865
Mailing Address - Fax:
Practice Address - Street 1:1248 FOREST GREEN DR
Practice Address - Street 2:
Practice Address - City:KENNEDALE
Practice Address - State:TX
Practice Address - Zip Code:76060-2853
Practice Address - Country:US
Practice Address - Phone:817-845-9865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63382101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health