Healthcare Provider Details

I. General information

NPI: 1689173817
Provider Name (Legal Business Name): DAWN ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2018
Last Update Date: 08/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7923 RESEDA BLVD APT 1
RESEDA CA
91335-1934
US

IV. Provider business mailing address

7923 RESEDA BLVD APT 1
RESEDA CA
91335-1934
US

V. Phone/Fax

Practice location:
  • Phone: 323-515-2327
  • Fax:
Mailing address:
  • Phone: 323-515-2327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: