| Doctor Name: | HEATHER L DUNDAS |
| NPI Number: | 1871828657 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | 1431 |
| Business Practice Address: | 622 W College Ave Ste 2 St Maries, ID - 838611822 |
| Business Phone Number: | 2082454363 |
| Business Fax Number: | 2082454349 |
| Mailing Address: | 91 Taylor Ln, ST MARIES |
| State: | ID |
| Postal Code: | 838619546 |
| Phone Number: | 4062919692 |
| Fax Number: | |
| NPI Enumeration Date: | 10/12/2009 |
| NPI Last Update Date: | 11/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1431 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |