Individual
ASHLEY A MAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LICDC
Contact information
Practice address
254 PINECREST DR, GALLIPOLIS, OH 45631-1347
(740) 578-4824
(740) 578-4821
Mailing address
254 PINECREST DR, GALLIPOLIS, OH 45631-1347
(740) 578-4824
(740) 578-4821
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320981
—
OH
Enumeration date
08/31/2017
Last updated
08/19/2025
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