Provider Demographics
NPI:1609383306
Name:DUNLAP, KARLA (LPC, SAC)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:DUNLAP
Suffix:
Gender:F
Credentials:LPC, SAC
Other - Prefix:
Other - First Name:KARLA
Other - Middle Name:
Other - Last Name:CADE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:421 COUNTY ROAD R
Mailing Address - Street 2:
Mailing Address - City:BLACK RIVER FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54615-5129
Mailing Address - Country:US
Mailing Address - Phone:715-284-4301
Mailing Address - Fax:715-284-7713
Practice Address - Street 1:421 COUNTY ROAD R
Practice Address - Street 2:
Practice Address - City:BLACK RIVER FALLS
Practice Address - State:WI
Practice Address - Zip Code:54615-5129
Practice Address - Country:US
Practice Address - Phone:715-284-4301
Practice Address - Fax:715-284-7713
Is Sole Proprietor?:No
Enumeration Date:2018-01-03
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI17843-130101YA0400X
WI16406-131101YA0400X
WI7531-125101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100074123Medicaid