Provider Demographics
NPI:1518644715
Name:CROXTON, DAWN RENE (LPC, PEL)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:RENE
Last Name:CROXTON
Suffix:
Gender:F
Credentials:LPC, PEL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3033 W JEFFERSON ST STE 107
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-5298
Mailing Address - Country:US
Mailing Address - Phone:815-773-0772
Mailing Address - Fax:
Practice Address - Street 1:3033 W JEFFERSON ST STE 107
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-5298
Practice Address - Country:US
Practice Address - Phone:815-773-0772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty