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NPI Code Detail

MEDICARE: LAQUETTA DAWSON LMFT

MEDICARE: LAQUETTA DAWSON LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist203473TX

General Provider Information

NPI Number : 1376046870
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAQUETTA DAWSON LMFT
Provider Business Mailing Address
First Line : 17350 STATE HIGHWAY 249 STE 220
Second Line :
City : HOUSTON
State : TX
Zip : 77064-1132
Country : US
Telephone Number : 980-292-4698
Fax Number :
Provider Business Practice Location Address
First Line : 3910 W INTERSTATE 20 STE 100
Second Line :
City : ARLINGTON
State : TX
Zip : 76017-1430
Country : US
Telephone Number : 817-812-2880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2018
Last Update Date : 05/15/2024

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Directions to “ LAQUETTA DAWSON LMFT” Practice Location

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