Provider Demographics
NPI:1831556349
Name:DODSON, MEGHAN (LPC-CANDIDATE)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:DODSON
Suffix:
Gender:F
Credentials:LPC-CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25257 SHADE TREE CT
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74019-2609
Mailing Address - Country:US
Mailing Address - Phone:918-373-1700
Mailing Address - Fax:
Practice Address - Street 1:25257 SHADE TREE CT
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74019-2609
Practice Address - Country:US
Practice Address - Phone:918-373-1700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-28
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst