Doctor Name: | DAWN M WEST |
NPI Number: | 1164628160 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | LC3188 |
Business Practice Address: | 11120 Somerset Ave Princess Anne, MD - 218532970 |
Business Phone Number: | 4106514200 |
Business Fax Number: | |
Mailing Address: | 2336 Goddard Pkwy, SALISBURY |
State: | MD |
Postal Code: | 218011126 |
Phone Number: | 4103346961 |
Fax Number: | 4103346362 |
NPI Enumeration Date: | 06/26/2007 |
NPI Last Update Date: | 08/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC3188 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |