Provider Demographics
NPI:1417299652
Name:DUNLAP, FELISA M (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:FELISA
Middle Name:M
Last Name:DUNLAP
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6816 HEMP CT
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536-3817
Mailing Address - Country:US
Mailing Address - Phone:702-721-8434
Mailing Address - Fax:
Practice Address - Street 1:1017 E BASIN AVE STE 3
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89060-4532
Practice Address - Country:US
Practice Address - Phone:702-721-8434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV01684-L101YA0400X
NV01462106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)