Provider Demographics
NPI:1891327540
Name:KESSLER, ASHLEY (LMFT, CASAC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:KESSLER
Suffix:
Gender:F
Credentials:LMFT, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 MAPLE LN
Mailing Address - Street 2:
Mailing Address - City:NORTH SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13212-3840
Mailing Address - Country:US
Mailing Address - Phone:610-698-2468
Mailing Address - Fax:
Practice Address - Street 1:2122 ERIE BLVD E STE C
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13224-1041
Practice Address - Country:US
Practice Address - Phone:315-857-3035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-11
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001083106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE