Provider Demographics
NPI:1104133461
Name:DAHN, COLLEEN M (BA)
Entity type:Individual
Prefix:MS
First Name:COLLEEN
Middle Name:M
Last Name:DAHN
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 PRESEVERANCE WAY
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601
Mailing Address - Country:US
Mailing Address - Phone:508-815-5174
Mailing Address - Fax:508-862-9023
Practice Address - Street 1:60 PRESEVERANCE WAY
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601
Practice Address - Country:US
Practice Address - Phone:508-815-5174
Practice Address - Fax:508-862-9023
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor