Basic Information
| Provider Information | |||||||||
| NPI: | 1952662785 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DUNN | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | MA, LMFT, CSAT, MAC, | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1515 E SILVER SPRINGS BLVD STE 217 | ||||||||
| Address2: | |||||||||
| City: | OCALA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 344706844 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3527323333 | ||||||||
| FaxNumber: | 3527322469 | ||||||||
| Practice Location | |||||||||
| Address1: | 1515 E SILVER SPRINGS BLVD STE 217 | ||||||||
| Address2: | |||||||||
| City: | OCALA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 344706844 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3527323333 | ||||||||
| FaxNumber: | 3527322469 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/07/2012 | ||||||||
| LastUpdateDate: | 10/06/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 10/06/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | MT3128 | FL | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.