Healthcare Provider Details

I. General information

NPI: 1659863371
Provider Name (Legal Business Name): DAWN PULLIN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2018
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1208 HAWTHORNE AVE SW
CANTON OH
44710-1416
US

IV. Provider business mailing address

831 MARKET AVE N STE 202
CANTON OH
44702-1175
US

V. Phone/Fax

Practice location:
  • Phone: 330-412-2754
  • Fax:
Mailing address:
  • Phone: 330-412-2754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC.1801035
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: