Doctor Name: | KIECHELLE EVERETTE DUNLOP |
NPI Number: | 1154756732 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NCC |
License Number: | |
Business Practice Address: | 26 Lindberg Bay Apt 2 St Thomas, VI - 008025914 |
Business Phone Number: | 3405145016 |
Business Fax Number: | |
Mailing Address: | Po Box 1651, ST THOMAS |
State: | VI |
Postal Code: | 008041651 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/13/2013 |
NPI Last Update Date: | 09/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |