Provider Demographics
NPI:1376551507
Name:DUNN, JUDY ELIZABETH (LPC)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:ELIZABETH
Last Name:DUNN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18601 LYNDON B JOHNSON FWY STE 711
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-6436
Mailing Address - Country:US
Mailing Address - Phone:972-613-0385
Mailing Address - Fax:972-613-6475
Practice Address - Street 1:18601 LYNDON B JOHNSON FWY STE 711
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-6436
Practice Address - Country:US
Practice Address - Phone:972-613-0385
Practice Address - Fax:972-613-6475
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12271101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health