Provider Demographics
NPI:1437264835
Name:ANDRE, DAWN MICHELLE (LPC)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:MICHELLE
Last Name:ANDRE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:DAWN
Other - Middle Name:
Other - Last Name:LANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:16022 UPSHIRE ST
Mailing Address - Street 2:
Mailing Address - City:CHANNELVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:77530-2856
Mailing Address - Country:US
Mailing Address - Phone:225-313-8411
Mailing Address - Fax:
Practice Address - Street 1:5151 E SAM HOUSTON PKWY S
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-3915
Practice Address - Country:US
Practice Address - Phone:225-313-8411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4211101YP2500X
TX16913101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional