Provider Demographics
NPI:1659750206
Name:DUNN, ERIN KATIE (LICSW, CN)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:KATIE
Last Name:DUNN
Suffix:
Gender:F
Credentials:LICSW, CN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2808 S ASSEMBLY ROAD # 45
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99224
Mailing Address - Country:US
Mailing Address - Phone:608-772-4820
Mailing Address - Fax:
Practice Address - Street 1:2808 S ASSEMBLY ROAD # 45
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99224
Practice Address - Country:US
Practice Address - Phone:608-772-4820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-28
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
WA61246092133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical