Provider Demographics
NPI:1063751261
Name:MANSON, ASHLEY JEAN
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:JEAN
Last Name:MANSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9361 WEEPING WILLOW CT
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130-4471
Mailing Address - Country:US
Mailing Address - Phone:720-254-4628
Mailing Address - Fax:
Practice Address - Street 1:9361 WEEPING WILLOW CT
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80130-4471
Practice Address - Country:US
Practice Address - Phone:720-254-4628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional