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NPI Code Detail

MEDICARE: MRS. DAWN M LEON MA

MEDICARE:  MRS. DAWN M LEON  MA
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
1101YP2500XProfessional CounselorUNLICENSEOR

General Provider Information

NPI Number : 1144310574
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DAWN M LEON MA
Provider Business Mailing Address
First Line : 1186 CROWLEY AVE SE
Second Line :
City : SALEM
State : OR
Zip : 97302-1910
Country : US
Telephone Number : 503-851-0421
Fax Number : 503-362-9671
Provider Business Practice Location Address
First Line : 182 SW ACADEMY ST
Second Line :
City : DALLAS
State : OR
Zip : 97338-1996
Country : US
Telephone Number : 35-623-9289
Fax Number : 503-831-1726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2006
Last Update Date : 10/09/2018

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Directions to “ MRS. DAWN M LEON MA” Practice Location

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