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NPI Code Detail

MEDICARE: ASHLEY ALBERTSON MA, APC

MEDICARE: ASHLEY ALBERTSON MA, APC
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
1101YP2500XProfessional CounselorLPC016071GA

General Provider Information

NPI Number : 1942044607
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY ALBERTSON MA, APC
Provider Business Mailing Address
First Line : 3754 LAVISTA RD
Second Line :
City : TUCKER
State : GA
Zip : 30084-5626
Country : US
Telephone Number : 919-824-5929
Fax Number :
Provider Business Practice Location Address
First Line : 3754 LAVISTA RD STE 200
Second Line :
City : TUCKER
State : GA
Zip : 30084-5627
Country : US
Telephone Number : 919-824-5929
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2024
Last Update Date : 01/20/2026

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