Basic Information
| Provider Information | |||||||||
| NPI: | 1891093795 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | UGULANO | ||||||||
| FirstName: | ASHELY | ||||||||
| MiddleName: | LYNN | ||||||||
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| Credential: | M.S, NCC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 409 STEWART AVE | ||||||||
| Address2: | |||||||||
| City: | RIVER RIDGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701231460 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5044390272 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2625 CHARLES DR | ||||||||
| Address2: | |||||||||
| City: | CHALMETTE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 70044 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5042784006 | ||||||||
| FaxNumber: | 5042784007 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/02/2011 | ||||||||
| LastUpdateDate: | 03/02/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | Y | Behavioral Health & Social Service Providers | Counselor |
No ID Information.