Individual
DAWN M ZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, CSAC
Contact information
Practice address
1777 W GRAND AVE, PORT WASHINGTON, WI 53074-2077
(262) 268-6637
(262) 268-6615
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2338
(414) 385-8987
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1321
WI
101YP2500X
Professional Counselor
5924-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42138800
—
WI
Enumeration date
10/31/2005
Last updated
06/21/2019
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