Etzel, Dawn Lesley

Etzel, Dawn Lesley is an individual health care provider with primary practice located at 1747 N Wells St , Fort Wayne IN 46808-3235. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Etzel, Dawn Lesley can be contacted via phone (260) 420-6100.

Contact Information

Primary practice address
1747 N Wells St Fort Wayne IN 46808-3235
Phone: (260) 420-6100
Fax: (574) 268-2377
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 86000311A Indiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39002304A Indiana

Profile Details

NPI number 1912213588
LBN Legal business name Etzel, Dawn Lesley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2010
Last updated Apr 9th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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