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NPI Code Detail

MEDICARE: DAWN SCOTT LPCC, LMFT, LD, CDE

MEDICARE: DAWN SCOTT LPCC, LMFT, LD, CDE
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
1101Y00000XCounselorC.2002949OH
2106H00000XMarriage & Family TherapistM.2100156OH
3101YM0800XMental Health CounselorE.2303369OH

General Provider Information

NPI Number : 1639582802
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN SCOTT LPCC, LMFT, LD, CDE
Provider Business Mailing Address
First Line : 22001 FAIRMOUNT BLVD
Second Line :
City : SHAKER HTS
State : OH
Zip : 44118-4819
Country : US
Telephone Number : 330-241-4444
Fax Number :
Provider Business Practice Location Address
First Line : 1621 MEDINA RD STE 2
Second Line :
City : MEDINA
State : OH
Zip : 44256-5333
Country : US
Telephone Number : 330-241-4444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2014
Last Update Date : 03/02/2023

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