Provider Demographics
NPI:1376882860
Name:DAWSON, KENYA DENISE (LPC, LCASA)
Entity Type:Individual
Prefix:MRS
First Name:KENYA
Middle Name:DENISE
Last Name:DAWSON
Suffix:
Gender:F
Credentials:LPC, LCASA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 N TRYON ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202-2222
Mailing Address - Country:US
Mailing Address - Phone:704-432-2919
Mailing Address - Fax:
Practice Address - Street 1:700 N TRYON ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202-2222
Practice Address - Country:US
Practice Address - Phone:704-432-2919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-04
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9262101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health