Individual
MRS. ASHLEY NICOLE PESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
101 W 18TH ST, LA PORTE, IN 46350-6830
(219) 369-2341
Mailing address
237 WHISPERING BLVD, LA PORTE, IN 46350-3592
(219) 379-6744
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39005934A
IN
101YM0800X
Mental Health Counselor
Primary
88002307A
IN
Other
Enumeration date
03/11/2024
Last updated
03/24/2026
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