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NPI Code Detail

MEDICARE: ASHLEY DENISE STACY LMFT

MEDICARE:   ASHLEY DENISE STACY  LMFT
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
1106H00000XMarriage & Family Therapist125287CA

General Provider Information

NPI Number : 1619494648
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY DENISE STACY LMFT
Provider Business Mailing Address
First Line : 14221 MONTEGO BAY DR
Second Line :
City : MORENO VALLEY
State : CA
Zip : 92553-2924
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14221 MONTEGO BAY DR
Second Line :
City : MORENO VALLEY
State : CA
Zip : 92553-2924
Country : US
Telephone Number : 951-807-6192
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2017
Last Update Date : 06/26/2024

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Directions to “ ASHLEY DENISE STACY LMFT” Practice Location

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