MEDICARE: DAWN K DIALON M.S., MFT, LADC

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	01112-L	NV
2	106H00000X	Marriage & Family Therapist	0923	NV

General Provider Information

NPI Number	:	1255487492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN K DIALON M.S., MFT, LADC

Provider Business Mailing Address
First Line	:	2620 REGATTA DR
Second Line	:	SUITE 102
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-6891
Country	:	US
Telephone Number	:	702-553-1070
Fax Number	:	702-553-1071

Provider Business Practice Location Address
First Line	:	2620 REGATTA DR
Second Line	:	SUITE 102
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-6891
Country	:	US
Telephone Number	:	702-553-1070
Fax Number	:	702-553-1071

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2007
Last Update Date	:	09/11/2025

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