Provider Demographics
NPI:1972057172
Name:BRADSHAW, ASHLEE NICOLE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:ASHLEE
Middle Name:NICOLE
Last Name:BRADSHAW
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MISS
Other - First Name:ASHLEE
Other - Middle Name:NICOLE
Other - Last Name:LUPFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:1212 N WASHINGTON ST STE 327
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-2403
Mailing Address - Country:US
Mailing Address - Phone:509-505-4567
Mailing Address - Fax:509-505-4115
Practice Address - Street 1:1212 N WASHINGTON ST STE 327
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-2403
Practice Address - Country:US
Practice Address - Phone:509-505-4567
Practice Address - Fax:509-505-4115
Is Sole Proprietor?:No
Enumeration Date:2016-08-05
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60564138101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health