Gwendolyn Ann Thomas Ashby, COUNSELOR TRAINEE
Individual provider Active NPI Mental Health Counselor · Moraine, OH
NPI 1437702115 · NPPES record last updated Jul 22, 2019
Key facts
- NPI
- 1437702115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- C.1901631-TRNE (OH)
- Practice address
- 3095 Kettering Blvd
Moraine, OH 45439-1983 - Phone
- (937) 293-8300
- NPI assigned
- Jul 22, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1901631-TRNE | OH | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.1901631-TRNE | OH | Yes |
Addresses
Primary practice location
3095 Kettering Blvd
Moraine, OH 45439-1983
Mailing address
3095 Kettering Blvd
Moraine, OH 45439-1983
Phone (937) 293-8300
Other providers in Moraine, OH
- Sumaiya Anwar
- Lena Rose Aprile
- Arc Therapy Services LLC
- Jane Ruthann Aridge
- Miranda Armstead
- Christal T Askren
- Taylor Ashley Atkins
- Chrystal Yanonka Ayorinde
- Sarah Badger
- Lakais Bailey
All providers in Moraine, OH · Mental Health Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.