Provider Demographics
NPI:1922424530
Name:DAWOOD, LAUREN KEARNS (LCMHC)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:KEARNS
Last Name:DAWOOD
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:MISS
Other - First Name:LAUREN
Other - Middle Name:MORGAN
Other - Last Name:KEARNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4805 KINLOCK DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27712-2717
Mailing Address - Country:US
Mailing Address - Phone:919-475-6820
Mailing Address - Fax:919-659-0411
Practice Address - Street 1:4805 KINLOCK DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27712-2717
Practice Address - Country:US
Practice Address - Phone:919-475-6820
Practice Address - Fax:919-659-0411
Is Sole Proprietor?:No
Enumeration Date:2014-03-07
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10647101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional