Individual
MS. SHANTE D ASHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3261 OLD WASHINGTON RD STE 2020, WALDORF, MD 20602-3231
(301) 861-3454
Mailing address
PO BOX 501, MARBURY, MD 20658-0501
(301) 861-3454
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC4285
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051354700
—
MD
Enumeration date
03/01/2012
Last updated
07/21/2022
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