Provider Demographics
NPI:1841677002
Name:ASHLEY, MARILYN (LMFT)
Entity type:Individual
Prefix:
First Name:MARILYN
Middle Name:
Last Name:ASHLEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3882
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90510-3882
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2615 PACIFIC COAST HIGHWAY
Practice Address - Street 2:SUITE 322
Practice Address - City:HERMOSA BEACH
Practice Address - State:CA
Practice Address - Zip Code:90254
Practice Address - Country:US
Practice Address - Phone:424-488-3021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-27
Last Update Date:2023-08-22
Deactivation Date:2021-06-09
Deactivation Code:
Reactivation Date:2023-08-22
Provider Licenses
StateLicense IDTaxonomies
CA85137106H00000X
CA104007106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist