Provider Demographics
NPI:1558669184
Name:KRAWCZYK, DAWN (MS, LCPC)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:
Last Name:KRAWCZYK
Suffix:
Gender:F
Credentials:MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11S250 S JACKSON ST STE 101
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-6884
Mailing Address - Country:US
Mailing Address - Phone:630-282-6955
Mailing Address - Fax:
Practice Address - Street 1:11S250 S JACKSON ST STE 101
Practice Address - Street 2:
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527-6884
Practice Address - Country:US
Practice Address - Phone:630-282-6955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-07
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.009133101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor