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NPI Code Detail

MEDICARE: DAWN A WHITTINGTON LPC

MEDICARE: DAWN A WHITTINGTON LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor16602IL
2101YP2500XProfessional Counselor180004235IL
3101YM0800XMental Health CounselorLPC15016AZ

General Provider Information

NPI Number : 1134337645
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN A WHITTINGTON LPC
Provider Business Mailing Address
First Line : 7500 N DREAMY DRAW DR STE 145
Second Line :
City : PHOENIX
State : AZ
Zip : 85020-4668
Country : US
Telephone Number : 480-882-4545
Fax Number :
Provider Business Practice Location Address
First Line : 9015 N 3RD ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85020-2444
Country : US
Telephone Number : 480-882-4545
Fax Number : 602-714-3755
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 07/10/2024

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Directions to “ DAWN A WHITTINGTON LPC” Practice Location

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