Provider Demographics
NPI:1710680129
Name:VARGASON, ASHLEE BROOKE (MGC, CGC)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:BROOKE
Last Name:VARGASON
Suffix:
Gender:F
Credentials:MGC, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2414 PINEVILLE CREST CT
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-2521
Mailing Address - Country:US
Mailing Address - Phone:731-618-2206
Mailing Address - Fax:
Practice Address - Street 1:227 ST PAUL PLACE
Practice Address - Street 2:3RD FLOOR OF WEINBERG
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202
Practice Address - Country:US
Practice Address - Phone:410-951-7950
Practice Address - Fax:410-951-7931
Is Sole Proprietor?:No
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS