Provider Demographics
NPI:1760734016
Name:LAWSON, JOHN PHILLIP (LMFT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:PHILLIP
Last Name:LAWSON
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 REDBUSH CT
Mailing Address - Street 2:#2
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-4340
Mailing Address - Country:US
Mailing Address - Phone:423-283-4958
Mailing Address - Fax:423-283-7135
Practice Address - Street 1:214 E MOUNTCASTLE DR STE 1
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-2509
Practice Address - Country:US
Practice Address - Phone:423-283-4958
Practice Address - Fax:423-283-7135
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-11
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN949106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist