Provider Demographics
NPI:1588805618
Name:WRIEDT, DAWN AMONTE (MA)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:AMONTE
Last Name:WRIEDT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 N COLLEGE AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-4427
Mailing Address - Country:US
Mailing Address - Phone:970-518-7930
Mailing Address - Fax:
Practice Address - Street 1:123 N COLLEGE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-4427
Practice Address - Country:US
Practice Address - Phone:970-518-7930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-19
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health