Provider Demographics
NPI:1881279578
Name:TENNER, ASHLEA MEGAN (LPC, CADC-I)
Entity type:Individual
Prefix:
First Name:ASHLEA
Middle Name:MEGAN
Last Name:TENNER
Suffix:
Gender:F
Credentials:LPC, CADC-I
Other - Prefix:
Other - First Name:ASHLEA
Other - Middle Name:MEGAN
Other - Last Name:WOLF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:29089 SW MEEK LOOP APT 231
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-6857
Mailing Address - Country:US
Mailing Address - Phone:541-554-7168
Mailing Address - Fax:
Practice Address - Street 1:29089 SW MEEK LOOP APT 231
Practice Address - Street 2:
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-6857
Practice Address - Country:US
Practice Address - Phone:541-554-7168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-14
Last Update Date:2021-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR16-10-16101YA0400X
ORC5172101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)