Doctor Name: | PENELOPE DAWSON |
NPI Number: | 1053578070 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC005224 |
Business Practice Address: | 900 Shugart Rd Dalton, GA - 307202467 |
Business Phone Number: | 7062705100 |
Business Fax Number: | |
Mailing Address: | 1620 Hickoty St, Ste 404 DALTON |
State: | GA |
Postal Code: | 307202522 |
Phone Number: | 7062705033 |
Fax Number: | |
NPI Enumeration Date: | 05/19/2008 |
NPI Last Update Date: | 08/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC005224 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |