Doctor Name: | MRS. DAWN RENAUD |
NPI Number: | 1427303502 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT, LPC |
License Number: | 46.002216 |
Business Practice Address: | 595 Thompson Ave East Haven, CT - 065122934 |
Business Phone Number: | 2034683297 |
Business Fax Number: | |
Mailing Address: | 595 Thompson Ave, EAST HAVEN |
State: | CT |
Postal Code: | 065122934 |
Phone Number: | 2034683297 |
Fax Number: | |
NPI Enumeration Date: | 07/16/2012 |
NPI Last Update Date: | 11/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 46.002216 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |