Provider Demographics
NPI:1356939441
Name:CLEBURN, ASHLEE (NCC, LPC)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:CLEBURN
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3711 EASTBURY LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-5141
Mailing Address - Country:US
Mailing Address - Phone:713-458-0917
Mailing Address - Fax:
Practice Address - Street 1:1110 NASA PKWY STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3310
Practice Address - Country:US
Practice Address - Phone:832-982-1227
Practice Address - Fax:832-987-2297
Is Sole Proprietor?:No
Enumeration Date:2021-01-05
Last Update Date:2024-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81414101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor