Provider Demographics
NPI:1891336574
Name:MAHARAJ, ASHLEY N (LPC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:N
Last Name:MAHARAJ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 PORT ST APT 1228
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-2496
Mailing Address - Country:US
Mailing Address - Phone:703-839-0084
Mailing Address - Fax:
Practice Address - Street 1:750 PORT ST APT 1228
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2496
Practice Address - Country:US
Practice Address - Phone:703-839-0084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008671101YP2500X
DCPRC15153101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional