Provider Demographics
NPI:1891139689
Name:GASTFIELD, ASHLEY ROSE (BA, AAC)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:ROSE
Last Name:GASTFIELD
Suffix:
Gender:F
Credentials:BA, AAC
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:ROSE
Other - Last Name:GARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1600 E OLIVE ST
Mailing Address - Street 2:SOUND MENTAL HEALTH
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-2735
Mailing Address - Country:US
Mailing Address - Phone:206-302-2200
Mailing Address - Fax:206-302-2210
Practice Address - Street 1:8705 166TH AVE NE
Practice Address - Street 2:STILLWATER
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3749
Practice Address - Country:US
Practice Address - Phone:425-653-5080
Practice Address - Fax:425-653-5081
Is Sole Proprietor?:No
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG60348362101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor