Individual
DILLON FAWCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, TLMHC
Contact information
Practice address
2240 9TH ST, CORALVILLE, IA 52241-1575
(319) 800-5564
Mailing address
1305 PARK AVE, CENTER POINT, IA 52213-9421
(319) 981-0368
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
121775
IA
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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