Individual
DAWN ASHLEY JEZUIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC-A, LAC-A, MA
Contact information
Practice address
10220 WICKER AVE STE 3, SAINT JOHN, IN 46373-8400
(000) 000-0000
Mailing address
10220 WICKER AVE STE 3, SAINT JOHN, IN 46373-8400
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
99114903A
IN
101YM0800X
Mental Health Counselor
Primary
88001773A
IN
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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