Individual
MS. TINA R. DODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N. / L.P.C.
Contact information
Practice address
5813 LAUREL AVE, C/O POB 9565 / 5813 LAUREL AVE / T.DODSON, LPN / LPC, RAYTOWN, MO 64133-3260
(816) 550-9549
(816) 313-6907
Mailing address
PO BOX 9565, POB 9565 / 5813 LAUREL AVE / T.DODSON, LPN / LPC, RAYTOWN, MO 64133-0365
(816) 550-9549
(816) 313-6907
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2001004045
MO
164W00000X
Licensed Practical Nurse
Primary
032173
MO
Other
Enumeration date
07/12/2006
Last updated
09/11/2025
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