Provider Demographics
NPI:1205683042
Name:ASHLEY, VALERIE HICKS (MS, LPC)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:HICKS
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8027 WINSTON RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118-2937
Mailing Address - Country:US
Mailing Address - Phone:215-806-0366
Mailing Address - Fax:
Practice Address - Street 1:8027 WINSTON RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-2937
Practice Address - Country:US
Practice Address - Phone:215-806-0366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC017015101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional