Provider Demographics
NPI:1740563204
Name:ROBINS, DAWN M (MA MFT)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:M
Last Name:ROBINS
Suffix:
Gender:F
Credentials:MA MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6605 SEABECK HOLLY RD NW
Mailing Address - Street 2:
Mailing Address - City:SEABECK
Mailing Address - State:WA
Mailing Address - Zip Code:98380-8876
Mailing Address - Country:US
Mailing Address - Phone:760-406-3860
Mailing Address - Fax:
Practice Address - Street 1:10535 POPS PL NW
Practice Address - Street 2:
Practice Address - City:SEABECK
Practice Address - State:WA
Practice Address - Zip Code:98380-4503
Practice Address - Country:US
Practice Address - Phone:760-406-3860
Practice Address - Fax:360-550-4337
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2020-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41312106H00000X
WALF60931791106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMFT41312OtherBOARD OF BEHAVIORAL SCIENCES LICENSE MARRIAGE & FAMILY THERAPIST
WALF60931791OtherWASHINGTON STATE DEPARTMENT OF HEALTH