Provider Demographics
NPI:1972907418
Name:BAXTER, DAWN (LMFT)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:BAXTER
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 1:1440 KAPIOLANI BLVD STE 1200
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3608
Mailing Address - Country:US
Mailing Address - Phone:808-294-9697
Mailing Address - Fax:
Practice Address - Street 1:1440 KAPIOLANI BLVD STE 1200
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3608
Practice Address - Country:US
Practice Address - Phone:808-294-9697
Practice Address - Fax:888-972-5594
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-13
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1643-11101YA0400X
HI412106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)