Healthcare Provider Details

I. General information

NPI: 1841945193
Provider Name (Legal Business Name): ASHLEY ANN EKEGREN MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY ANN BANCROFT

II. Dates (important events)

Enumeration Date: 02/15/2022
Last Update Date: 03/28/2022
Certification Date: 03/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8307 BRIMHALL RD STE 1705
BAKERSFIELD CA
93312-4343
US

IV. Provider business mailing address

1409 CORTE CANALETTE
BAKERSFIELD CA
93309-7129
US

V. Phone/Fax

Practice location:
  • Phone: 661-829-7301
  • Fax:
Mailing address:
  • Phone: 661-699-6936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: