Healthcare Provider Details

I. General information

NPI: 1427967025
Provider Name (Legal Business Name): DAWN MARIE POWERS LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2224 N CRAYCROFT RD STE 100
TUCSON AZ
85712-2811
US

IV. Provider business mailing address

9452 E CALLE CASCADA
TUCSON AZ
85715-5821
US

V. Phone/Fax

Practice location:
  • Phone: 520-636-8884
  • Fax:
Mailing address:
  • Phone: 520-636-8884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLAC-24298
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: