NPI | 1447754247 |
---|---|
Former Name | DAWN RENEE ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 76095) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 76095) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13920) | |
Enumeration Date | 2018-03-19 |
Last Update Date | 2025-09-16 |