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NPI 1144932708

NPI 1144932708 : DAWSON COUNSELING & PERFORMANCE LLC : FRANKFORT, IN

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General NPI Number Information
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    NPI Number           |    1144932708
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    Entity Type          |    Organization 
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    Legal Business Name  |    DAWSON COUNSELING & PERFORMANCE LLC 
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Dates
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    Enumeration Date     |    12/14/2022
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    Last Update Date     |    12/27/2022
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Provider Practice Location Address
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    Address Line         |    1654 S HILAND DR 
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    City                 |    FRANKFORT
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    State                |    IN
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    Zip                  |    46041-6826
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    Country              |    US
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    Telephone            |    216-392-9330
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1654 S HILAND DR 
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    City                 |    FRANKFORT
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    State                |    IN
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    Zip                  |    46041-6826
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     KELSEY  DAWSON 
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    Credential           |    PSY.D.
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    Telephone            |    216-392-9330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TA0700X
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    Taxonomy Name        |    Adult Development & Aging Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    103TB0200X
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    Taxonomy Name        |    Cognitive & Behavioral Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    103TC2200X
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    Taxonomy Name        |    Clinical Child & Adolescent Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    103TE1100X
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    Taxonomy Name        |    Exercise & Sports Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    103TF0000X
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    Taxonomy Name        |    Family Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    103TH0004X
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    Taxonomy Name        |    Health Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    103TM1800X
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    Taxonomy Name        |    Intellectual & Developmental Disabilities Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #10
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    Taxonomy Code        |    103TP2701X
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    Taxonomy Name        |    Group Psychotherapy Psychologist
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    License Number       |    
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    License Number State |    
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