Provider Demographics
NPI:1669754453
Name:MCLAUGHLIN, ASHLEY (MS,LMFT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:MS,LMFT
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:DORRIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:PO BOX 22461
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-0461
Mailing Address - Country:US
Mailing Address - Phone:925-628-1739
Mailing Address - Fax:
Practice Address - Street 1:425 DIVISADERO ST
Practice Address - Street 2:300
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-2242
Practice Address - Country:US
Practice Address - Phone:415-551-0975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-16
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 75820106H00000X
CALMFT #90582106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist