Provider Demographics
NPI:1396286134
Name:DUNKLE, RANDALL W (LPC)
Entity type:Individual
Prefix:
First Name:RANDALL
Middle Name:W
Last Name:DUNKLE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 NORTON LN
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-2359
Mailing Address - Country:US
Mailing Address - Phone:410-608-3400
Mailing Address - Fax:410-608-3400
Practice Address - Street 1:517 NORTON LN
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-2359
Practice Address - Country:US
Practice Address - Phone:410-608-3400
Practice Address - Fax:410-608-3400
Is Sole Proprietor?:No
Enumeration Date:2017-03-13
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC200002114101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health