Provider Demographics
NPI:1336459098
Name:ECKERT, DAWN M (MA, LMHC, LCAC)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:M
Last Name:ECKERT
Suffix:
Gender:F
Credentials:MA, LMHC, LCAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 N HARRISON ST
Mailing Address - Street 2:ATTN: ANNE LAWSON
Mailing Address - City:WARSAW
Mailing Address - State:IN
Mailing Address - Zip Code:46580
Mailing Address - Country:US
Mailing Address - Phone:574-267-7169
Mailing Address - Fax:574-268-2377
Practice Address - Street 1:850 N HARRISON ST
Practice Address - Street 2:ATTN: ANNE LAWSON
Practice Address - City:WARSAW
Practice Address - State:IN
Practice Address - Zip Code:46580
Practice Address - Country:US
Practice Address - Phone:574-267-7169
Practice Address - Fax:574-268-2377
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39002422A101YM0800X
IN87001412A101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)