Provider Demographics
NPI:1316320773
Name:WALTERS, DAWNA FAYE (LPCC)
Entity type:Individual
Prefix:MRS
First Name:DAWNA
Middle Name:FAYE
Last Name:WALTERS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 MAIN ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-1511
Mailing Address - Country:US
Mailing Address - Phone:740-722-9095
Mailing Address - Fax:740-575-4323
Practice Address - Street 1:410 MAIN ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-1511
Practice Address - Country:US
Practice Address - Phone:740-722-9095
Practice Address - Fax:740-575-4323
Is Sole Proprietor?:No
Enumeration Date:2015-07-02
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE 0008474101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional