Provider Demographics
NPI:1942328885
Name:DUNN, DEBORAH B (LMFT)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:B
Last Name:DUNN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 SOUTH CHURCH STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520
Mailing Address - Country:US
Mailing Address - Phone:919-550-2897
Mailing Address - Fax:
Practice Address - Street 1:105 S. CHURCH ST.
Practice Address - Street 2:STE. A
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-2419
Practice Address - Country:US
Practice Address - Phone:919-550-2897
Practice Address - Fax:919-550-2897
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC773106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6105036Medicaid