Individual
MISS ASHLEY LYNETTE CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LAC
Contact information
Practice address
18425 PONY EXPRESS DR UNIT 203, PARKER, CO 80134-9605
(303) 805-1218
Mailing address
18425 PONY EXPRESS DR UNIT 203, PARKER, CO 80134-9605
(303) 805-1218
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPCC.0017590
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0002155
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC.0019565
CO
Other
Enumeration date
11/30/2020
Last updated
08/28/2023
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