Provider Demographics
NPI:1053782672
Name:ASHTON, ASHLY K
Entity type:Individual
Prefix:MISS
First Name:ASHLY
Middle Name:K
Last Name:ASHTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 PARK ST
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:ME
Mailing Address - Zip Code:04530-2828
Mailing Address - Country:US
Mailing Address - Phone:207-389-4022
Mailing Address - Fax:207-389-4584
Practice Address - Street 1:9 PARK ST
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:ME
Practice Address - Zip Code:04530-2828
Practice Address - Country:US
Practice Address - Phone:207-389-4022
Practice Address - Fax:207-389-4584
Is Sole Proprietor?:No
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECAC5642101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)