Provider Demographics
NPI:1265669246
Name:KLUG, DAWN M (MS/LPC)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:M
Last Name:KLUG
Suffix:
Gender:F
Credentials:MS/LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 BILTMORE AVE
Mailing Address - Street 2:DOCTORS PARK 3-C
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4543
Mailing Address - Country:US
Mailing Address - Phone:828-252-5725
Mailing Address - Fax:828-258-1336
Practice Address - Street 1:417 BILTMORE AVE
Practice Address - Street 2:DOCTORS PARK 3-C
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4543
Practice Address - Country:US
Practice Address - Phone:828-252-5725
Practice Address - Fax:828-258-1336
Is Sole Proprietor?:No
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3013101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor