Provider Demographics
NPI:1134714140
Name:DUNKERS, CHRYSTAL (LPC)
Entity type:Individual
Prefix:MRS
First Name:CHRYSTAL
Middle Name:
Last Name:DUNKERS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:458 ELIZABETH AVE STE 5-322
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-5110
Mailing Address - Country:US
Mailing Address - Phone:732-917-7258
Mailing Address - Fax:732-917-7259
Practice Address - Street 1:458 ELIZABETH AVE STE 5-322
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-5110
Practice Address - Country:US
Practice Address - Phone:732-917-7258
Practice Address - Fax:732-917-7259
Is Sole Proprietor?:No
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00753500101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional