Provider Demographics
NPI:1144408097
Name:MYERS, DAWN CHRISTIAN (LCMFT)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:CHRISTIAN
Last Name:MYERS
Suffix:
Gender:F
Credentials:LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10206 W 89TH TER
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-4619
Mailing Address - Country:US
Mailing Address - Phone:816-392-1670
Mailing Address - Fax:
Practice Address - Street 1:19501 S STATE ROUTE 291
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:MO
Practice Address - Zip Code:64080-8581
Practice Address - Country:US
Practice Address - Phone:816-392-1670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-02
Last Update Date:2008-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004037149106H00000X
KSLCMFT310106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist