Provider Demographics
NPI:1346532330
Name:DUNN, SEAN R (LCSW)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:R
Last Name:DUNN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1227 PONDEROSA DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-2456
Mailing Address - Country:US
Mailing Address - Phone:406-254-2673
Mailing Address - Fax:
Practice Address - Street 1:1227 PONDEROSA DR
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-2456
Practice Address - Country:US
Practice Address - Phone:406-254-2673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-09
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT10021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical