Provider Demographics
NPI:1144380494
Name:DUNAWAY, SUSAN F (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:F
Last Name:DUNAWAY
Suffix:
Gender:F
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 1:9901 BLUEJACKET ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66214-2314
Mailing Address - Country:US
Mailing Address - Phone:913-541-1548
Mailing Address - Fax:
Practice Address - Street 1:519 SW MARKET ST
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-3918
Practice Address - Country:US
Practice Address - Phone:816-525-5333
Practice Address - Fax:816-525-5334
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001019531101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor