Provider Demographics
NPI:1760836738
Name:DUNSON, DAVID (LCSW, CSAC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:DUNSON
Suffix:
Gender:M
Credentials:LCSW, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 CRAIGSIDE PL APT 7C
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1759
Mailing Address - Country:US
Mailing Address - Phone:808-780-2969
Mailing Address - Fax:
Practice Address - Street 1:21 CRAIGSIDE PL APT 7C
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1759
Practice Address - Country:US
Practice Address - Phone:808-780-2969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-15
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1739-13101YA0400X
HI41181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)