Provider Demographics
NPI:1821130444
Name:DUNKIN, SHANNON B (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:SHANNON
Middle Name:B
Last Name:DUNKIN
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 E 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1406
Mailing Address - Country:US
Mailing Address - Phone:509-462-2500
Mailing Address - Fax:509-462-2503
Practice Address - Street 1:504 E 2ND AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1406
Practice Address - Country:US
Practice Address - Phone:509-462-2500
Practice Address - Fax:509-462-2503
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00010710101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health