Doctor Name: | DAWN FIELDS |
NPI Number: | 1154721512 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCA |
License Number: | |
Business Practice Address: | 4413 Home Stakes Dr Parkton, NC - 283717703 |
Business Phone Number: | 9102293911 |
Business Fax Number: | |
Mailing Address: | 4413 Home Stakes Dr, PARKTON |
State: | NC |
Postal Code: | 283717703 |
Phone Number: | 9102293911 |
Fax Number: | |
NPI Enumeration Date: | 09/03/2014 |
NPI Last Update Date: | 09/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |