Provider Demographics
NPI:1679441364
Name:DAWKINS, GLORIA JANDANNE (LPC)
Entity type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:JANDANNE
Last Name:DAWKINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:387 WOOSTER ST
Mailing Address - Street 2:
Mailing Address - City:NAUGATUCK
Mailing Address - State:CT
Mailing Address - Zip Code:06770-3155
Mailing Address - Country:US
Mailing Address - Phone:203-297-8165
Mailing Address - Fax:
Practice Address - Street 1:2795 WHITNEY AVE RM L6
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-2560
Practice Address - Country:US
Practice Address - Phone:203-297-8165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-25
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT9050101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health