Provider Demographics
NPI:1457500878
Name:LAWSON, COLLEEN L (MA)
Entity Type:Individual
Prefix:MS
First Name:COLLEEN
Middle Name:L
Last Name:LAWSON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4896 LUCY LN
Mailing Address - Street 2:
Mailing Address - City:LANGLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98260-8405
Mailing Address - Country:US
Mailing Address - Phone:360-579-1628
Mailing Address - Fax:
Practice Address - Street 1:4896 LUCY LN
Practice Address - Street 2:
Practice Address - City:LANGLEY
Practice Address - State:WA
Practice Address - Zip Code:98260-8405
Practice Address - Country:US
Practice Address - Phone:360-579-1628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health