| Doctor Name: | MR. RICHARD EUGENE DUNNAM |
| NPI Number: | 1003960329 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NCAC II, CADC |
| License Number: | |
| Business Practice Address: | 920 Boone St Tupelo, MS - 388045908 |
| Business Phone Number: | 6628443531 |
| Business Fax Number: | 6628441757 |
| Mailing Address: | Po Box 251, TUPELO |
| State: | MS |
| Postal Code: | 388020251 |
| Phone Number: | 6628691670 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |