Provider Demographics
NPI:1023782828
Name:JAEGER, ASHLEY L (LPC)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:L
Last Name:JAEGER
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 1:718 GEMSTONE LN
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-1190
Mailing Address - Country:US
Mailing Address - Phone:240-527-8577
Mailing Address - Fax:
Practice Address - Street 1:718 GEMSTONE LN
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-1190
Practice Address - Country:US
Practice Address - Phone:240-527-8577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008047101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health