Healthcare Provider Details

I. General information

NPI: 1457286361
Provider Name (Legal Business Name): ASHLEY OLEJNICZAK AMFT, APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5108 STATE HIGHWAY 140
MARIPOSA CA
95338-2431
US

IV. Provider business mailing address

5108 STATE HIGHWAY 140
MARIPOSA CA
95338-2431
US

V. Phone/Fax

Practice location:
  • Phone: 209-213-7155
  • Fax:
Mailing address:
  • Phone: 209-213-7155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number22850
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number163729
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: