MEDICARE: DR. ASHLEE KIRBY LAKIN PHD, LPC, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0701014761	VA

General Provider Information

NPI Number	:	1205725660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHLEE KIRBY LAKIN PHD, LPC, NCC

Provider Business Mailing Address
First Line	:	1918 QUEENSMILL DR
Second Line	:
City	:	SALEM
State	:	VA
Zip	:	24153-4613
Country	:	US
Telephone Number	:	540-314-8252
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 E BURWELL ST STE B
Second Line	:
City	:	SALEM
State	:	VA
Zip	:	24153-4329
Country	:	US
Telephone Number	:	540-375-7307
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2025
Last Update Date	:	07/01/2025

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