Healthcare Provider Details

I. General information

NPI: 1598533929
Provider Name (Legal Business Name): DAWN K DICKINSON CMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DAWN SLOAN CMHC

II. Dates (important events)

Enumeration Date: 12/14/2023
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1781 S 500 E
SALT LAKE CITY UT
84105-2929
US

IV. Provider business mailing address

1781 S 500 E
SALT LAKE CITY UT
84105-2929
US

V. Phone/Fax

Practice location:
  • Phone: 435-513-6000
  • Fax:
Mailing address:
  • Phone: 435-513-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number13672382-6004
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: