Provider Demographics
NPI:1841945193
Name:EKEGREN, ASHLEY ANN (MS)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ANN
Last Name:EKEGREN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:ANN
Other - Last Name:BANCROFT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1409 CORTE CANALETTE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-7129
Mailing Address - Country:US
Mailing Address - Phone:661-699-6936
Mailing Address - Fax:
Practice Address - Street 1:8307 BRIMHALL RD STE 1705
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-4343
Practice Address - Country:US
Practice Address - Phone:661-829-7301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-15
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health