Provider Demographics
NPI:1801519517
Name:LAWSON, ASHLEY KRISTIN (CDCA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:KRISTIN
Last Name:LAWSON
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:KRISTIN
Other - Last Name:BOSTICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN, CDCA
Mailing Address - Street 1:7837 N MAIN ST APT 5
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-2327
Mailing Address - Country:US
Mailing Address - Phone:937-300-9248
Mailing Address - Fax:
Practice Address - Street 1:7837 N MAIN ST APT 5
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-2327
Practice Address - Country:US
Practice Address - Phone:937-300-9248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-19
Last Update Date:2023-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.144933.MEDS-IV164W00000X
251B00000X
OHCDCA.186652101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No164W00000XNursing Service ProvidersLicensed Practical Nurse
No251B00000XAgenciesCase Management