Provider Demographics
NPI:1386074581
Name:ASHLEY, BOBBI J (LMHC, MHP)
Entity type:Individual
Prefix:MRS
First Name:BOBBI
Middle Name:J
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:LMHC, MHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15715 VAIL RD SE
Mailing Address - Street 2:
Mailing Address - City:YELM
Mailing Address - State:WA
Mailing Address - Zip Code:98597-8467
Mailing Address - Country:US
Mailing Address - Phone:440-228-3330
Mailing Address - Fax:
Practice Address - Street 1:202 CULLENS RD
Practice Address - Street 2:
Practice Address - City:YELM
Practice Address - State:WA
Practice Address - Zip Code:98597
Practice Address - Country:US
Practice Address - Phone:360-400-4860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-25
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1200418101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health