Provider Demographics
NPI:1326469909
Name:DUNLOP, ALLYSE RENAE (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:ALLYSE
Middle Name:RENAE
Last Name:DUNLOP
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MS
Other - First Name:ALLYSE
Other - Middle Name:RENAE
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:2910 E WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:VINTON
Mailing Address - State:VA
Mailing Address - Zip Code:24179-1314
Mailing Address - Country:US
Mailing Address - Phone:540-562-3900
Mailing Address - Fax:540-890-5814
Practice Address - Street 1:2910 E WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:VINTON
Practice Address - State:VA
Practice Address - Zip Code:24179-1314
Practice Address - Country:US
Practice Address - Phone:540-562-3900
Practice Address - Fax:540-890-5814
Is Sole Proprietor?:No
Enumeration Date:2013-12-26
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007251101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health