Provider Demographics
NPI:1194180893
Name:CHILLON, DAWN (PHD, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:CHILLON
Suffix:
Gender:F
Credentials:PHD, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 AVEMORE SQUARE PL
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-7228
Mailing Address - Country:US
Mailing Address - Phone:804-901-7911
Mailing Address - Fax:804-672-7422
Practice Address - Street 1:4112 E PARHAM RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-2753
Practice Address - Country:US
Practice Address - Phone:804-901-7911
Practice Address - Fax:804-672-7422
Is Sole Proprietor?:No
Enumeration Date:2015-12-22
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006286101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health