Provider Demographics
NPI:1679045314
Name:SADLER, DAWNAVESE (LMFT)
Entity Type:Individual
Prefix:
First Name:DAWNAVESE
Middle Name:
Last Name:SADLER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29527-5410
Mailing Address - Country:US
Mailing Address - Phone:843-455-0966
Mailing Address - Fax:
Practice Address - Street 1:1227 16TH AVE # 179
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-3483
Practice Address - Country:US
Practice Address - Phone:843-455-0966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-19
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health