Provider Demographics
NPI:1538302229
Name:DAWSON, LINDA SUE (LPC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:SUE
Last Name:DAWSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7350 HERITAGE VILLAGE PLZ
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-3084
Mailing Address - Country:US
Mailing Address - Phone:571-248-0626
Mailing Address - Fax:866-817-3052
Practice Address - Street 1:7350 HERITAGE VILLAGE PLZ
Practice Address - Street 2:SUITE 201
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-3084
Practice Address - Country:US
Practice Address - Phone:571-248-0626
Practice Address - Fax:866-817-3052
Is Sole Proprietor?:No
Enumeration Date:2009-04-11
Last Update Date:2009-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004566101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional