Maxwell, D Dawn
Maxwell, D Dawn is an individual health care provider with primary practice located at 30950 Rancho Viejo Rd Suite 225 , San Juan Capistrano CA 92675. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Maxwell, D Dawn can be contacted via phone (949) 701-1134.Contact Information
Primary practice address
30950 Rancho Viejo Rd Suite 225
San Juan Capistrano CA 92675
Phone: (949) 701-1134
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 168115IV | California |
Profile Details
| NPI number | 1679091441 |
|---|---|
| LBN Legal business name | Maxwell, D Dawn |
| Credentials | M.A. CATC IV |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2017 |
| Last updated | Jul 21st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679091441 | NPPES |
| California | Other | 168115IV | ACCBC (CAADE) |
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