Provider Demographics
NPI:1578651667
Name:DUNNE, MICHAEL ALLEN (LPC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ALLEN
Last Name:DUNNE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1494 OLD BRODHEAD RD
Mailing Address - Street 2:
Mailing Address - City:MONACA
Mailing Address - State:PA
Mailing Address - Zip Code:15061-2477
Mailing Address - Country:US
Mailing Address - Phone:724-728-2203
Mailing Address - Fax:724-774-6155
Practice Address - Street 1:1494 OLD BRODHEAD RD
Practice Address - Street 2:
Practice Address - City:MONACA
Practice Address - State:PA
Practice Address - Zip Code:15061-2477
Practice Address - Country:US
Practice Address - Phone:724-728-2203
Practice Address - Fax:724-774-6155
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2009-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000196101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional