Provider Demographics
NPI:1962515718
Name:DOWNING, DAWN JOY (MA, LMHC, NCC)
Entity type:Individual
Prefix:MS
First Name:DAWN
Middle Name:JOY
Last Name:DOWNING
Suffix:
Gender:F
Credentials:MA, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13226 COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-9101
Mailing Address - Country:US
Mailing Address - Phone:219-736-8100
Mailing Address - Fax:219-769-8411
Practice Address - Street 1:6 E 67TH AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-3581
Practice Address - Country:US
Practice Address - Phone:219-736-8100
Practice Address - Fax:219-769-8411
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180004946101YM0800X
IN39002501A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health