Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | OK | |
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 4270 | FL |
N | 101YM0800X | Mental Health Counselor | 4270 | FL |
N | 101YP1600X | Pastoral Counselor | OK | |
N | 174V00000X | Clinical Ethicist | FL |
NPI | 1811102858 |
---|---|
Provider Name | Ms. Andrea D. Dawkins |
First Address | Deltona, FL 32738-6214 |
Second Address | Sanford, FL 32773-5342 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2007 |
Last Update Date | 18/03/2015 |