Provider Demographics
NPI:1811396872
Name:BHAT, DAWN (LMHC, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:BHAT
Suffix:
Gender:F
Credentials:LMHC, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 NE 2ND AVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-1628
Mailing Address - Country:US
Mailing Address - Phone:360-582-7270
Mailing Address - Fax:
Practice Address - Street 1:417 NE 2ND AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-1628
Practice Address - Country:US
Practice Address - Phone:360-582-7270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-15
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006233101YM0800X
WA60656567101YM0800X
ORC4225101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor