Provider Demographics
NPI:1033094636
Name:QUERIAPA, ASHLEE LAURA (LCMHCA)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:LAURA
Last Name:QUERIAPA
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 LONG ST APT 2
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-6458
Mailing Address - Country:US
Mailing Address - Phone:828-460-7572
Mailing Address - Fax:
Practice Address - Street 1:18 PEACHTREE ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-3065
Practice Address - Country:US
Practice Address - Phone:828-559-0414
Practice Address - Fax:828-214-6919
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA21837101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health