Individual
ASHTI DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 S 6TH ST, SPRINGFIELD, IL 62701-1530
(217) 741-7042
(855) 216-6514
Mailing address
206 S 6TH ST, SPRINGFIELD, IL 62701-1530
(217) 714-7042
(855) 216-6514
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
36771
IL
1041C0700X
Clinical Social Worker
Primary
150.107626
IL
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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