MEDICARE: MRS. JANNIE HOLLOWAY ASHBURNE LPC

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	0701003098	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932162211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANNIE HOLLOWAY ASHBURNE LPC

Provider Business Mailing Address
First Line	:	904 APPLE GROVE CT
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223-5930
Country	:	US
Telephone Number	:	804-328-6410
Fax Number	:

Provider Business Practice Location Address
First Line	:	904 APPLE GROVE CT
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223-5930
Country	:	US
Telephone Number	:	804-328-6410
Fax Number	:

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

Provider Enumeration Date	:	04/08/2006
Last Update Date	:	11/24/2009

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