Provider Demographics
NPI:1962694265
Name:CAHOON-EDGAR, DAWN M
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:M
Last Name:CAHOON-EDGAR
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:DAWN
Other - Middle Name:M
Other - Last Name:CAHOON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:216 W LOS ANGELES DR
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-3101
Mailing Address - Country:US
Mailing Address - Phone:760-630-4065
Mailing Address - Fax:
Practice Address - Street 1:216 W LOS ANGELES DR
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-3101
Practice Address - Country:US
Practice Address - Phone:760-630-4065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor