MEDICARE: ASHLEY LUONGO MA

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	101YM0800X	Mental Health Counselor	8790	MA

General Provider Information

NPI Number	:	1538484597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY LUONGO MA

Provider Business Mailing Address
First Line	:	55 W CENTRAL ST STE 2B
Second Line	:
City	:	FRANKLIN
State	:	MA
Zip	:	02038-2260
Country	:	US
Telephone Number	:	617-688-1824
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 W CENTRAL ST STE 2B
Second Line	:
City	:	FRANKLIN
State	:	MA
Zip	:	02038-2260
Country	:	US
Telephone Number	:	617-688-1824
Fax Number	:

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

Provider Enumeration Date	:	04/02/2010
Last Update Date	:	12/09/2024

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Directions to “ ASHLEY LUONGO MA” Practice Location

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