Provider Demographics
NPI:1386974103
Name:DUNMORE, DEBBIE ANN (MED, LPC)
Entity type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:ANN
Last Name:DUNMORE
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2113
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78691-2113
Mailing Address - Country:US
Mailing Address - Phone:512-786-3384
Mailing Address - Fax:512-551-2619
Practice Address - Street 1:821 GRAND AVENUE PKWY
Practice Address - Street 2:SUITE 108
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-2196
Practice Address - Country:US
Practice Address - Phone:512-786-3384
Practice Address - Fax:512-551-2619
Is Sole Proprietor?:No
Enumeration Date:2009-12-29
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62846101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX62846OtherLPC