Provider Demographics
NPI:1689558967
Name:ASHFORD, ROSE HENRIETTA (MA, MBA, ACRE-CERT,)
Entity type:Individual
Prefix:
First Name:ROSE
Middle Name:HENRIETTA
Last Name:ASHFORD
Suffix:
Gender:F
Credentials:MA, MBA, ACRE-CERT,
Other - Prefix:
Other - First Name:HENRIETTA
Other - Middle Name:R
Other - Last Name:ASHFORD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MY BIRTH NAME
Mailing Address - Street 1:21239 GARY DR APT 519
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-6130
Mailing Address - Country:US
Mailing Address - Phone:415-672-0372
Mailing Address - Fax:
Practice Address - Street 1:166 GEARY ST STE 1500
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-5628
Practice Address - Country:US
Practice Address - Phone:415-672-0372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171400000XOther Service ProvidersHealth & Wellness Coach