Provider Demographics
NPI:1699475053
Name:DUNN, KARI SUZANNE (LPC)
Entity type:Individual
Prefix:MISS
First Name:KARI
Middle Name:SUZANNE
Last Name:DUNN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:763 JESSE JOHNSON DR
Mailing Address - Street 2:
Mailing Address - City:BLAKELY
Mailing Address - State:GA
Mailing Address - Zip Code:39823-3224
Mailing Address - Country:US
Mailing Address - Phone:229-724-2050
Mailing Address - Fax:229-724-5052
Practice Address - Street 1:763 JESSE JOHNSON DR
Practice Address - Street 2:
Practice Address - City:BLAKELY
Practice Address - State:GA
Practice Address - Zip Code:39823-3224
Practice Address - Country:US
Practice Address - Phone:229-724-2050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-06
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC007866101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional