Provider Demographics
NPI:1689921074
Name:NUDING, DAWN V (LCPC)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:V
Last Name:NUDING
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1489 STATE HIGHWAY 102
Mailing Address - Street 2:
Mailing Address - City:BAR HARBOR
Mailing Address - State:ME
Mailing Address - Zip Code:04609-7021
Mailing Address - Country:US
Mailing Address - Phone:207-288-3388
Mailing Address - Fax:207-288-9888
Practice Address - Street 1:1489 STATE HIGHWAY 102
Practice Address - Street 2:
Practice Address - City:BAR HARBOR
Practice Address - State:ME
Practice Address - Zip Code:04609-7021
Practice Address - Country:US
Practice Address - Phone:207-288-3388
Practice Address - Fax:207-288-9888
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-06
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC4374101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional