Provider Demographics
NPI:1821412669
Name:LAWSON, VALERIE (MBS, LBP)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:LAWSON
Suffix:
Gender:F
Credentials:MBS, LBP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7756 S 92ND EAST AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-4916
Mailing Address - Country:US
Mailing Address - Phone:918-695-9703
Mailing Address - Fax:
Practice Address - Street 1:7756 S 92ND EAST AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-4916
Practice Address - Country:US
Practice Address - Phone:918-695-9703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-14
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK0163101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional