Provider Demographics
NPI:1932688744
Name:DUNN, MICHELLE L (LCPC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:L
Last Name:DUNN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8600 LA SALLE RD STE 610
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-2014
Mailing Address - Country:US
Mailing Address - Phone:410-491-6929
Mailing Address - Fax:443-275-7918
Practice Address - Street 1:8600 LA SALLE RD STE 610
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-2014
Practice Address - Country:US
Practice Address - Phone:410-491-6929
Practice Address - Fax:443-275-7918
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-13
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP8812101YM0800X
MDLC10449101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health