Provider Demographics
NPI:1639948193
Name:PEEL, DAWN MARIE WARREN (LPC)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:MARIE WARREN
Last Name:PEEL
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 1:4736 WALTONS CIR
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-5262
Mailing Address - Country:US
Mailing Address - Phone:706-231-0926
Mailing Address - Fax:
Practice Address - Street 1:4736 WALTONS CIR
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-5262
Practice Address - Country:US
Practice Address - Phone:706-231-0926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005503101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor