| Doctor Name: | MRS. DAWN SAMPSON |
| NPI Number: | 1740361757 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LCS23139 |
| Business Practice Address: | 100 Falls Canyon Road Avalon, CA - 90704 |
| Business Phone Number: | 3105100520 |
| Business Fax Number: | 3105102381 |
| Mailing Address: | Po Box 1665, 100 Falls Canyon Rd. AVALON |
| State: | CA |
| Postal Code: | 907041665 |
| Phone Number: | 3105100520 |
| Fax Number: | 3105102381 |
| NPI Enumeration Date: | 10/17/2006 |
| NPI Last Update Date: | 05/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCS23139 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |