Provider Demographics
NPI:1588738058
Name:ROHRIG, DAWN (PC, CRC)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:ROHRIG
Suffix:
Gender:F
Credentials:PC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4039 PARADISE ST SW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44706-3947
Mailing Address - Country:US
Mailing Address - Phone:330-484-3317
Mailing Address - Fax:
Practice Address - Street 1:4565 DRESSLER RD NW
Practice Address - Street 2:SUITE LL21
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2549
Practice Address - Country:US
Practice Address - Phone:330-491-9700
Practice Address - Fax:330-491-9730
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC0005121101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor