Provider Demographics
NPI:1073752655
Name:DUNSTON, CARRIE JANENE (LICSW)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:JANENE
Last Name:DUNSTON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 122ND AVE NE APT 108
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3107
Mailing Address - Country:US
Mailing Address - Phone:425-414-6718
Mailing Address - Fax:
Practice Address - Street 1:701 122ND AVE NE APT 108
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-3107
Practice Address - Country:US
Practice Address - Phone:425-414-6718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-05
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37821041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical