Provider Demographics
NPI:1447754247
Name:GONZALES, DAWN RENEE (MS)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:RENEE
Last Name:GONZALES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:DAWN
Other - Middle Name:RENEE
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:317 CANOE DR
Mailing Address - Street 2:
Mailing Address - City:HARKER HTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-7463
Mailing Address - Country:US
Mailing Address - Phone:830-625-0599
Mailing Address - Fax:830-625-5877
Practice Address - Street 1:1711 E CENTRAL TEXAS EXPY
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76541-9166
Practice Address - Country:US
Practice Address - Phone:254-501-3745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-19
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76095101YP2500X, 101YM0800X
TX13920101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)