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NPI Code Detail

MEDICARE: KARRIE J PAWSON LPC

MEDICARE: KARRIE J PAWSON LPC
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
1101YM0800XMental Health Counselor6401005828MI

General Provider Information

NPI Number : 1922111723
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARRIE J PAWSON LPC
Provider Business Mailing Address
First Line : 520 SUPERIOR ST
Second Line :
City : PORT HURON
State : MI
Zip : 48060-3838
Country : US
Telephone Number : 810-984-4202
Fax Number :
Provider Business Practice Location Address
First Line : 520 SUPERIOR ST
Second Line :
City : PORT HURON
State : MI
Zip : 48060-3838
Country : US
Telephone Number : 810-984-4202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2006
Last Update Date : 07/08/2007

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Directions to “ KARRIE J PAWSON LPC” Practice Location

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