Provider Demographics
NPI:1104162213
Name:DIPO, DAWN-ASHLEY (LMHCA, NCC)
Entity type:Individual
Prefix:MRS
First Name:DAWN-ASHLEY
Middle Name:
Last Name:DIPO
Suffix:
Gender:F
Credentials:LMHCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6013 E 6TH AVE
Mailing Address - Street 2:UNIT O-1
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-0454
Mailing Address - Country:US
Mailing Address - Phone:509-237-2191
Mailing Address - Fax:
Practice Address - Street 1:721 N PINES RD
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-5225
Practice Address - Country:US
Practice Address - Phone:509-237-2191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-17
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60311791101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health