Provider Demographics
NPI:1831855774
Name:VENABLE, DAWN ERVIN (LPC)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:ERVIN
Last Name:VENABLE
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 1:546 E HINSDALE AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-3389
Mailing Address - Country:US
Mailing Address - Phone:720-291-6962
Mailing Address - Fax:
Practice Address - Street 1:546 E HINSDALE AVE
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-3389
Practice Address - Country:US
Practice Address - Phone:720-291-6962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0017180101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional