Provider Demographics
NPI:1174038467
Name:DUNN, BEVERLEY SUE (LPCC)
Entity Type:Individual
Prefix:
First Name:BEVERLEY
Middle Name:SUE
Last Name:DUNN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 221
Mailing Address - Street 2:
Mailing Address - City:KINGS MILLS
Mailing Address - State:OH
Mailing Address - Zip Code:45034-0221
Mailing Address - Country:US
Mailing Address - Phone:513-501-4761
Mailing Address - Fax:
Practice Address - Street 1:8520 EAST KEMPER ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-1709
Practice Address - Country:US
Practice Address - Phone:513-501-4761
Practice Address - Fax:888-652-1139
Is Sole Proprietor?:No
Enumeration Date:2017-12-08
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1700449101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional