Individual
ASHLEY SLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC - P
Contact information
Practice address
1081 LONG POND RD STE 207, ROCHESTER, NY 14626-5002
(585) 270-1781
(716) 676-5570
Mailing address
1081 LONG POND RD STE 207, ROCHESTER, NY 14626-5002
(585) 270-1781
(716) 676-5570
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
014115
NY
101YM0800X
Mental Health Counselor
Primary
P114120
NY
Other
Enumeration date
02/11/2022
Last updated
05/11/2026
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