Provider Demographics
NPI:1821858929
Name:DUNN, KRISTYN ANNE (LCMHCA)
Entity Type:Individual
Prefix:
First Name:KRISTYN
Middle Name:ANNE
Last Name:DUNN
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:623 N OAK DR
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-2623
Mailing Address - Country:US
Mailing Address - Phone:704-453-6406
Mailing Address - Fax:
Practice Address - Street 1:623 N OAK DR
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-2623
Practice Address - Country:US
Practice Address - Phone:704-453-6406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA19830101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health