Basic Information
| Provider Information | |||||||||
| NPI: | 1295037026 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DUNNING | ||||||||
| FirstName: | LENA | ||||||||
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| Credential: | MSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 2066 | ||||||||
| Address2: | |||||||||
| City: | BROOMFIELD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800382066 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3039175073 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3404 N EUDORA STREET | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 80207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3035041500 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/30/2010 | ||||||||
| LastUpdateDate: | 04/12/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 09923453 | CO | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.