Provider Demographics
NPI:1225896392
Name:WESTBY GARCIA, DAWN RENEE
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:RENEE
Last Name:WESTBY GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6512 COLONY RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79706-3153
Mailing Address - Country:US
Mailing Address - Phone:432-208-0932
Mailing Address - Fax:
Practice Address - Street 1:5030 E UNIVERSITY BLVD STE C103
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79762-8147
Practice Address - Country:US
Practice Address - Phone:432-208-0932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79504101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional