Provider Demographics
NPI:1104197961
Name:DUNN, CRAIG ARIC (LPC)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:ARIC
Last Name:DUNN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 ODELL RD STE 6
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30224-4878
Mailing Address - Country:US
Mailing Address - Phone:770-229-3407
Mailing Address - Fax:770-229-3465
Practice Address - Street 1:244 ODELL RD STE 6
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-4878
Practice Address - Country:US
Practice Address - Phone:770-229-3407
Practice Address - Fax:770-229-3465
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005870101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional