Provider Demographics
NPI:1922453422
Name:DAWSON, KASIE LEANN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KASIE
Middle Name:LEANN
Last Name:DAWSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 E CENTER ST STE 200H
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72701-5348
Mailing Address - Country:US
Mailing Address - Phone:479-445-7726
Mailing Address - Fax:
Practice Address - Street 1:31 E CENTER ST STE 200H
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72701-5348
Practice Address - Country:US
Practice Address - Phone:479-445-7726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-03
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1607070101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional