MEDICARE: DAWN ELIZABETH MCMILLAN-AUSTIN MA, LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LAC-16097	AZ

General Provider Information

NPI Number	:	1639647522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN ELIZABETH MCMILLAN-AUSTIN MA, LAC

Provider Business Mailing Address
First Line	:	6720 E KORALEE ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-1033
Country	:	US
Telephone Number	:	520-254-0134
Fax Number	:

Provider Business Practice Location Address
First Line	:	7490 S CAMINO DE OESTE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85746-9308
Country	:	US
Telephone Number	:	520-879-5859
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2018
Last Update Date	:	06/07/2026

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