Provider Demographics
NPI:1790794477
Name:DUNN, EDYTHE BURT (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:EDYTHE
Middle Name:BURT
Last Name:DUNN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:DEE
Other - Middle Name:
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:PO BOX 787
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20178-0787
Mailing Address - Country:US
Mailing Address - Phone:540-270-4516
Mailing Address - Fax:
Practice Address - Street 1:26 S KING ST
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-3007
Practice Address - Country:US
Practice Address - Phone:540-270-4516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003174101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional