Basic Information
| Provider Information | |||||||||
| NPI: | 1912556572 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCIOLINI | ||||||||
| FirstName: | ASHLEY | ||||||||
| MiddleName: | SABRINA | ||||||||
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| Credential: | M.S. MFT, PPS CWA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1151 SAINT GEORGE DR | ||||||||
| Address2: | |||||||||
| City: | SAN DIMAS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917732339 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9512885116 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2550 E FOOTHILL BLVD | ||||||||
| Address2: | |||||||||
| City: | PASADENA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 911073406 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6267445230 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/06/2019 | ||||||||
| LastUpdateDate: | 01/06/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/06/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 116734 | CA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.