Provider Demographics
NPI:1598927113
Name:LAWSON, JAIME WILLIAM (LPC, NCC)
Entity Type:Individual
Prefix:MR
First Name:JAIME
Middle Name:WILLIAM
Last Name:LAWSON
Suffix:
Gender:M
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:378 W CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-4659
Mailing Address - Country:US
Mailing Address - Phone:724-225-6940
Mailing Address - Fax:724-225-6811
Practice Address - Street 1:378 W CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-4659
Practice Address - Country:US
Practice Address - Phone:724-225-6940
Practice Address - Fax:724-225-6811
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA004183101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional