Doctor Name: | COLLETTE DAWSON-LOVELESS |
NPI Number: | 1043533821 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CSW |
License Number: | 64501303502 |
Business Practice Address: | 194 S Main St Pleasant Grove, UT - 840622631 |
Business Phone Number: | 8017851169 |
Business Fax Number: | 8017851154 |
Mailing Address: | 194 S Main St, PLEASANT GROVE |
State: | UT |
Postal Code: | 840622631 |
Phone Number: | 8017851169 |
Fax Number: | 8017851154 |
NPI Enumeration Date: | 03/08/2010 |
NPI Last Update Date: | 03/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 64501303502 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |