Individual provider · Type 1 NPI
Dawn Lesley Etzel
Mental Health Counselor · Fort Wayne, IN
NPI number
1912213588
Active
Practice location
1747 N Wells St
Fort Wayne, IN 46808-3235
Fax (574) 268-2377
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 86000311A (IN) |
| Mental Health Counselor Primary | 101YM0800X | 39002304A (IN) |
Mental Health Counselor: Definition to come...
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About NPI 1912213588
Dawn Lesley Etzel's National Provider Identifier is 1912213588, issued on Aug 20, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Apr 9, 2024.