Provider Demographics
NPI:1154923621
Name:DRYDEN, ASHLIE N (LAC)
Entity type:Individual
Prefix:MRS
First Name:ASHLIE
Middle Name:N
Last Name:DRYDEN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8645 HAUSER ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-4507
Mailing Address - Country:US
Mailing Address - Phone:913-766-1587
Mailing Address - Fax:
Practice Address - Street 1:8645 HAUSER CT
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-4507
Practice Address - Country:US
Practice Address - Phone:913-766-1857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01713101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)