Most Relevant Information
Provider Data
| NPI Number: | 1003587825 |
| Provider Name: | DAWN MOCKLER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 107558 |
Most Important Dates
| Enumeration Date: | 09/22/2021 |
| Last Updated: | 09/22/2021 |
Provider Practice Location
111 VESTA RD
SALIDA
CO
812019327
Practice Location Phone/Fax
| Phone: | 7195396502 |
| Fax: | 7195393988 |
Provider Mailing Location
111 VESTA RD
SALIDA
CO
812019327
Provider Mailing Phone/Fax
| Phone: | 7195396502 |
| Fax: | 7195393988 |