Provider Demographics
NPI:1750440202
Name:KIMMEL, DAWN M (LPC)
Entity type:Individual
Prefix:MS
First Name:DAWN
Middle Name:M
Last Name:KIMMEL
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 1:789 N SHERMAN ST STE 580
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3523
Mailing Address - Country:US
Mailing Address - Phone:303-809-5320
Mailing Address - Fax:
Practice Address - Street 1:789 N SHERMAN ST STE 580
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3523
Practice Address - Country:US
Practice Address - Phone:303-809-5320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2378101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional