Provider Demographics
NPI:1033814215
Name:DUNAHOO, CRISTINA P (LLPC, NCC, EMDR)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:P
Last Name:DUNAHOO
Suffix:
Gender:F
Credentials:LLPC, NCC, EMDR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474 SHAW ESTATES DR NE
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49341-9795
Mailing Address - Country:US
Mailing Address - Phone:850-737-9204
Mailing Address - Fax:
Practice Address - Street 1:4081 CASCADE RD SE STE 100
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-2135
Practice Address - Country:US
Practice Address - Phone:616-319-1978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451022809101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health