Provider Demographics
NPI:1841069465
Name:HUNTER, DAWN ROXANNE (LCSW-AZ)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:ROXANNE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:LCSW-AZ
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3470 LEE CIR APT 105
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-0008
Mailing Address - Country:US
Mailing Address - Phone:480-274-4835
Mailing Address - Fax:
Practice Address - Street 1:3470 LEE CIR APT 105
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-0008
Practice Address - Country:US
Practice Address - Phone:480-274-4835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2661104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker