Provider Demographics
NPI:1700590130
Name:DUNBAR, VICTORIA RAE (LPC-ASSOCIATE)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:RAE
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11009 AFFINITY LN APT 7202
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-0149
Mailing Address - Country:US
Mailing Address - Phone:240-602-8201
Mailing Address - Fax:
Practice Address - Street 1:11009 AFFINITY LN APT 7202
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75089-0149
Practice Address - Country:US
Practice Address - Phone:240-602-8201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89586101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2406028201OtherCIGNA
TX2406028201OtherBLUE CROSS BLUE SHIELD
TX2406028201OtherUNITED HEALTHCARE