Provider Demographics
NPI:1881735512
Name:ASHTON, DIANE (LMFT)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:
Last Name:ASHTON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:
Other - Last Name:ASHTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:IMF
Mailing Address - Street 1:4283 EL CAJON BLVD.
Mailing Address - Street 2:STE 115
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92105
Mailing Address - Country:US
Mailing Address - Phone:619-521-1743
Mailing Address - Fax:
Practice Address - Street 1:4283 EL CAJON BLVD.
Practice Address - Street 2:STE 115
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105
Practice Address - Country:US
Practice Address - Phone:619-521-1743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF50539106H00000X
CA78342106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist