Provider Demographics
NPI:1457629560
Name:JAMES, DAWN C (LPC)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:C
Last Name:JAMES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 TRAVELERS REST RD
Mailing Address - Street 2:
Mailing Address - City:MONTEZUMA
Mailing Address - State:GA
Mailing Address - Zip Code:31063-2032
Mailing Address - Country:US
Mailing Address - Phone:478-244-0926
Mailing Address - Fax:478-472-1207
Practice Address - Street 1:405 TRAVELERS REST RD
Practice Address - Street 2:
Practice Address - City:MONTEZUMA
Practice Address - State:GA
Practice Address - Zip Code:31063-2032
Practice Address - Country:US
Practice Address - Phone:478-244-0926
Practice Address - Fax:478-472-1207
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-02
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006308101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional