Provider Demographics
NPI:1952662785
Name:DUNN, MICHAEL (MA, LMFT, CSAT, MAC,)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:DUNN
Suffix:
Gender:M
Credentials:MA, LMFT, CSAT, MAC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 E SILVER SPRINGS BLVD STE 217
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-6844
Mailing Address - Country:US
Mailing Address - Phone:352-732-3333
Mailing Address - Fax:352-732-2469
Practice Address - Street 1:1515 E SILVER SPRINGS BLVD STE 217
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-6844
Practice Address - Country:US
Practice Address - Phone:352-732-3333
Practice Address - Fax:352-732-2469
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT3128106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist