Doctor Name: | KRISTIN DUNFEE |
NPI Number: | 1811386006 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | LC5983 |
Business Practice Address: | 30007 Business Center Dr Charlotte Hall, MD - 206223101 |
Business Phone Number: | 3019971300 |
Business Fax Number: | 2402900280 |
Mailing Address: | 3200 Marcando Ln, UPPER MARLBORO |
State: | MD |
Postal Code: | 207743514 |
Phone Number: | 7402745077 |
Fax Number: | |
NPI Enumeration Date: | 01/12/2015 |
NPI Last Update Date: | 01/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC5983 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |