| Dawson Counseling Llc | |
|
6819 Buckhorn Lake Rd Holly MI 48442-9184 | |
| (248) 431-4516 | |
| Not Available |
| Full Name | Dawson Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6819 Buckhorn Lake Rd, Holly, Michigan |
| Authorized Official Name and Position | Brian Wade Dawson (OWNER/CLINICIAN) |
| Authorized Official Contact | 2484314516 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawson Counseling Llc 6819 Buckhorn Lake Rd Holly MI 48442-9184 Ph: (248) 431-4516 | Dawson Counseling Llc 6819 Buckhorn Lake Rd Holly MI 48442-9184 Ph: (248) 431-4516 |
| NPI Number | 1992546956 |
|---|---|
| Provider Enumeration Date | 06/04/2024 |
| Last Update Date | 06/04/2024 |
| Certification Date | 06/04/2024 |
| Medicare PECOS PAC ID | 2365982964 |
|---|---|
| Medicare Enrollment ID | O20240910003053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992546956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brian Wade Dawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124176508 PECOS PAC ID: 2961732862 Enrollment ID: I20190919000139 |
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