Provider Demographics
NPI:1275168908
Name:HUPFELD, DAWN MARIE (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:MARIE
Last Name:HUPFELD
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:MARIE
Other - Last Name:USHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LMHC
Mailing Address - Street 1:1349 61ST ST
Mailing Address - Street 2:
Mailing Address - City:DYSART
Mailing Address - State:IA
Mailing Address - Zip Code:52224-9314
Mailing Address - Country:US
Mailing Address - Phone:319-302-9040
Mailing Address - Fax:319-302-9030
Practice Address - Street 1:1349 61ST ST
Practice Address - Street 2:
Practice Address - City:DYSART
Practice Address - State:IA
Practice Address - Zip Code:52224-9314
Practice Address - Country:US
Practice Address - Phone:319-302-9040
Practice Address - Fax:319-302-9080
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-03
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA097165101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty