Provider Demographics
NPI:1629524517
Name:DUNN, KRISTAL (MS, LPC)
Entity Type:Individual
Prefix:
First Name:KRISTAL
Middle Name:
Last Name:DUNN
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22400 WESTHEIMER PKWY APT 310
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-8268
Mailing Address - Country:US
Mailing Address - Phone:832-779-3201
Mailing Address - Fax:
Practice Address - Street 1:1660 W TC JESTER BLVD APT 710
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-3267
Practice Address - Country:US
Practice Address - Phone:903-292-7681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-30
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78551101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional