Provider Demographics
NPI:1184168791
Name:DONAHUE, ASHLEY LYNN (LCMHC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LYNN
Last Name:DONAHUE
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:LYNN
Other - Last Name:CLARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 COGSWELL ROAD
Mailing Address - Street 2:
Mailing Address - City:SANBORNTON
Mailing Address - State:NH
Mailing Address - Zip Code:03269
Mailing Address - Country:US
Mailing Address - Phone:603-832-8041
Mailing Address - Fax:
Practice Address - Street 1:1 COGSWELL ROAD
Practice Address - Street 2:
Practice Address - City:SANBORNTON
Practice Address - State:NH
Practice Address - Zip Code:03269
Practice Address - Country:US
Practice Address - Phone:603-832-8041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-16
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
IL2326101YM0800X
NH2326101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health