Provider Demographics
NPI:1205260395
Name:LANCE, ASHLYN CHRISTEEN (MS, LMFT)
Entity type:Individual
Prefix:MS
First Name:ASHLYN
Middle Name:CHRISTEEN
Last Name:LANCE
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1297 W HOBSONWAY
Mailing Address - Street 2:
Mailing Address - City:BLYTHE
Mailing Address - State:CA
Mailing Address - Zip Code:92225-1423
Mailing Address - Country:US
Mailing Address - Phone:760-921-5038
Mailing Address - Fax:
Practice Address - Street 1:1297 W HOBSONWAY
Practice Address - Street 2:
Practice Address - City:BLYTHE
Practice Address - State:CA
Practice Address - Zip Code:92225-1423
Practice Address - Country:US
Practice Address - Phone:760-921-5004
Practice Address - Fax:760-921-5002
Is Sole Proprietor?:No
Enumeration Date:2013-08-26
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA91205106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist