Provider Demographics
NPI:1396277430
Name:LAWSON, JENNIFER CHRISTIE (IAC, CHWC, BS)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:CHRISTIE
Last Name:LAWSON
Suffix:
Gender:F
Credentials:IAC, CHWC, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6338 OAK CT
Mailing Address - Street 2:APT 1
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-4881
Mailing Address - Country:US
Mailing Address - Phone:720-939-2531
Mailing Address - Fax:
Practice Address - Street 1:6338 OAK CT
Practice Address - Street 2:APT 1
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-4881
Practice Address - Country:US
Practice Address - Phone:720-939-2531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-29
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty