Individual provider · NPI-1
Shante D Ashe, LCPC
Counselor · Waldorf, MD
NPI number1295009777
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1295009777
- Entity type
- Individual (NPI-1)
- Name
- Ms. Shante D Ashe
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 1, 2012
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | LC4285 | MD | Yes |
Practice location
3261 Old Washington Rd Ste 2020Waldorf, MD 20602-3231
Phone 301-861-3454
Mailing address
Po Box 501Marbury, MD 20658-0501
Phone 301-861-3454
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