Provider Demographics
NPI:1184780850
Name:DAWSON, CARL MICHAEL (MS LPC)
Entity type:Individual
Prefix:MR
First Name:CARL
Middle Name:MICHAEL
Last Name:DAWSON
Suffix:
Gender:M
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3520 S CULPEPPER CIR STE C
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-4206
Mailing Address - Country:US
Mailing Address - Phone:417-882-4110
Mailing Address - Fax:417-882-4155
Practice Address - Street 1:3520 S CULPEPPER CIR STE C
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-4206
Practice Address - Country:US
Practice Address - Phone:417-882-4110
Practice Address - Fax:417-882-4155
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO000137101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health