Healthcare Provider Details

I. General information

NPI: 1861577926
Provider Name (Legal Business Name): DAWN MARIE GADEN M.A., L.P.C., N.C.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20730 BETSIE HIGHLAND DR
INTERLOCHEN MI
49643-9318
US

IV. Provider business mailing address

20730 BETSIE HIGHLAND DR
INTERLOCHEN MI
49643-9318
US

V. Phone/Fax

Practice location:
  • Phone: 810-623-7375
  • Fax:
Mailing address:
  • Phone: 810-623-7375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6401008212
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401008212
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: