Provider Demographics
NPI:1023126802
Name:FERRARA, DAWN BREWER (NCC, LPC, LMFT)
Entity type:Individual
Prefix:MS
First Name:DAWN
Middle Name:BREWER
Last Name:FERRARA
Suffix:
Gender:F
Credentials:NCC, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1972
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70434-1972
Mailing Address - Country:US
Mailing Address - Phone:985-373-6000
Mailing Address - Fax:
Practice Address - Street 1:312 S JEFFERSON AVE STE B
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-3169
Practice Address - Country:US
Practice Address - Phone:985-373-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2128101YP2500X
LA192106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist