Skip Navigation Link. Please press insert + down arrow if jaws does not start reading the content.

Provider Information for 1386115566


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

Mrs. DAWN SHELLEY WANN LPC


Sex: Female

NPI: 1386115566
Last Updated: 2024-09-17
Certification Date: 2024-09-17

Details

NameValue
NPI1386115566
Enumeration Date2018-12-16
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703-7536
United States

Phone: 573-334-1100 | Fax:573-651-4345
 
Primary Practice Address 406 N SPRING ST STE 2
PERRYVILLE, MO 63775-1912
United States

Phone: 573-547-8305 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalMO2016028193