Provider Demographics
NPI:1851702757
Name:VALLANGEON, ASHLEA (MA)
Entity type:Individual
Prefix:
First Name:ASHLEA
Middle Name:
Last Name:VALLANGEON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1551 E 85TH AVE
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-8901
Mailing Address - Country:US
Mailing Address - Phone:219-769-8821
Mailing Address - Fax:219-769-8831
Practice Address - Street 1:1551 E 85TH AVE
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-8901
Practice Address - Country:US
Practice Address - Phone:219-769-8821
Practice Address - Fax:219-769-8831
Is Sole Proprietor?:No
Enumeration Date:2014-05-13
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health