Provider Demographics
NPI:1881998672
Name:GROVE, DAWNE M (MC LMHC)
Entity type:Individual
Prefix:
First Name:DAWNE
Middle Name:M
Last Name:GROVE
Suffix:
Gender:F
Credentials:MC LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:LYNDEN
Mailing Address - State:WA
Mailing Address - Zip Code:98264-1819
Mailing Address - Country:US
Mailing Address - Phone:360-220-3855
Mailing Address - Fax:360-318-0113
Practice Address - Street 1:709 FRONT ST
Practice Address - Street 2:
Practice Address - City:LYNDEN
Practice Address - State:WA
Practice Address - Zip Code:98264-1819
Practice Address - Country:US
Practice Address - Phone:360-220-3855
Practice Address - Fax:360-318-0113
Is Sole Proprietor?:No
Enumeration Date:2011-01-07
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60169795101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health