Individual
JESSIE DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
1019 W 6TH AVE, GASTONIA, NC 28052-3961
(757) 339-1149
Mailing address
1019 W 6TH AVE, GASTONIA, NC 28052-3961
(757) 339-1149
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A10461
NC
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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