Provider Demographics
NPI:1649660309
Name:DUNLAP, CATHERINE ANN (MA, LPC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ANN
Last Name:DUNLAP
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:ANN
Other - Last Name:DUNLAP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LCMHC, ATR
Mailing Address - Street 1:7109 GRIST MILL RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-5404
Mailing Address - Country:US
Mailing Address - Phone:513-255-7818
Mailing Address - Fax:
Practice Address - Street 1:8506 SIX FORKS RD STE 102
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3260
Practice Address - Country:US
Practice Address - Phone:513-255-7818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-02
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11393101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional