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Individual
MYLINDA K LAWSON
Active
Individual
MYLINDA K LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S, CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.110764
OH
101YM0800X
Mental Health Counselor
E.1000662
OH
101YP2500X
Professional Counselor
Primary
E.1000662
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074861
MEDICAID LEGACY NUMBER CHEMICAL DEPENDENCY
OH
01
—
0074946
MEDICAID LEGACY NUMBER MENTAL HEALTH
OH
01
—
01-0693
CARF CERTIFICATION
OH
01
—
H130910
MEDICARE GROUP PTAN
OH
Enumeration date
11/13/2014
Last updated
02/09/2017
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