Provider Demographics
NPI:1710276290
Name:DESCHENES, ASHLEIGH GAIL
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:GAIL
Last Name:DESCHENES
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 1:33 STILLWATER AVE
Mailing Address - Street 2:APT 1
Mailing Address - City:OLD TOWN
Mailing Address - State:ME
Mailing Address - Zip Code:04468-1472
Mailing Address - Country:US
Mailing Address - Phone:207-343-1100
Mailing Address - Fax:
Practice Address - Street 1:33 STILLWATER AVE
Practice Address - Street 2:APT 1
Practice Address - City:OLD TOWN
Practice Address - State:ME
Practice Address - Zip Code:04468-1472
Practice Address - Country:US
Practice Address - Phone:207-343-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health