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NPI Code Detail

MEDICARE: DAWN MICHELLE HENNIGAN LPCC, LPC

MEDICARE: DAWN MICHELLE HENNIGAN LPCC, 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
1101YP2500XProfessional Counselor1363WY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982874384
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN MICHELLE HENNIGAN LPCC, LPC
Provider Business Mailing Address
First Line : 510 W 29TH ST
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-2760
Country : US
Telephone Number : 307-426-4728
Fax Number :
Provider Business Practice Location Address
First Line : 1954 W MARIPOSA PKWY
Second Line :
City : WHEATLAND
State : WY
Zip : 82201-3102
Country : US
Telephone Number : 307-322-3190
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2008
Last Update Date : 08/12/2019

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