Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 0016937 | CO |
NPI | 1003104688 |
---|---|
Provider Name | Dawn Zink |
First Address | Colorado Springs, CO 80923-4513 |
Second Address | Colorado Springs, CO 80918-5043 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2011 |
Last Update Date | 01/04/2021 |