Provider Demographics
NPI:1912480930
Name:ASHTON, ALISON CLAIRE (LPC INTERN)
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:CLAIRE
Last Name:ASHTON
Suffix:
Gender:F
Credentials:LPC INTERN
Other - Prefix:MS
Other - First Name:CLAIRE
Other - Middle Name:
Other - Last Name:ASHTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC INTERN
Mailing Address - Street 1:8510 DALEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-7513
Mailing Address - Country:US
Mailing Address - Phone:404-441-0454
Mailing Address - Fax:
Practice Address - Street 1:1406 CAMP CRAFT RD STE 205
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6583
Practice Address - Country:US
Practice Address - Phone:512-943-7868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-14
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80437101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health