Provider Demographics
NPI:1942847884
Name:ASHLEY, JOSEPH ANTHONY (MSSA, LSW, CCTP-II)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ANTHONY
Last Name:ASHLEY
Suffix:
Gender:M
Credentials:MSSA, LSW, CCTP-II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3805 WOODLAND AVE NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44709-2533
Mailing Address - Country:US
Mailing Address - Phone:330-209-5331
Mailing Address - Fax:
Practice Address - Street 1:3805 WOODLAND AVE NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44709-2533
Practice Address - Country:US
Practice Address - Phone:330-209-5331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-10
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health