Individual
LAKITA DAWSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3505 ADKISSON DR NW STE 165, CLEVELAND, TN 37312-6807
(423) 339-5590
Mailing address
3475 BUCHANAN RD SE, CLEVELAND, TN 37323-0459
(423) 579-2796
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
1000000027218
TN
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/23/2013
Last updated
08/20/2024
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