person
Larry Omar Dawson, LPC
Professional Counselor in Osceola, Arkansas
NPI 1548412893

Larry Omar Dawson is a Professional Counselor based in Jonesboro, AR and is specialized in Professional. Larry Omar Dawson practices in Osceola, AR and has the professional credentials of LPC. The NPI Number for Larry Omar Dawson is 1548412893 and holds a License No. P1608116 (Arkansas).

The current practice location address for Larry Omar Dawson is 3201 W Keiser Ave, Osceola, AR and can be reached out via phone at 870-622-0592 and via fax at 870-622-0782.

Location: 3201 W Keiser Ave, Osceola, AR, 72401-7870
person
Provider Profile Details
NPI Number
1548412893
Provider Name
Larry Omar Dawson
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
3201 W Keiser Ave, Osceola, AR, 72401-7870
Phone Number
870-622-0592
Fax Number
870-622-0782
Provider Enumeration Date
10/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
173314795 05 AR
5CA75 01 AR BCBS
institution
Provider Business Practice Location Address Details
Address
3201 W Keiser Ave
City
State
Zip
72370-3467
Phone Number
870-622-0592
Fax Number
870-622-0782
person
Provider Business Mailing Address Details
Address
3201 W Keiser Ave
City
State
Zip
72370-3467
Phone Number
870-622-0592
Fax Number
870-622-0782
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
P1608116 (Arkansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
P1608116 (Arkansas)
Definition
Definition to come...
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