Davolt, Dawn Marie

Davolt, Dawn Marie is an individual health care provider with primary practice located at 5541 Laurel Canyon Blvd Apt 46 , Valley Village CA 91607-2134. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Davolt, Dawn Marie can be contacted via phone (562) 857-7404.

Contact Information

Primary practice address
5541 Laurel Canyon Blvd Apt 46 Valley Village CA 91607-2134
Phone: (562) 857-7404
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW78706 California

Profile Details

NPI number 1891992350
LBN Legal business name Davolt, Dawn Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated Aug 26th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891992350 NPPES
California Other 78706 LCSW
California Other ASW63818 LCSW

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