Provider Demographics
NPI:1992299523
Name:DUNBAR, AMANDA (MS, LMHC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:KULBACKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LMHC
Mailing Address - Street 1:75 RAILROAD AVE UNIT B4
Mailing Address - Street 2:
Mailing Address - City:EPPING
Mailing Address - State:NH
Mailing Address - Zip Code:03042-3540
Mailing Address - Country:US
Mailing Address - Phone:603-780-4960
Mailing Address - Fax:
Practice Address - Street 1:75 RAILROAD AVE.
Practice Address - Street 2:UNIT B4
Practice Address - City:EPPING
Practice Address - State:NEW HAMPSHIRE
Practice Address - Zip Code:03042
Practice Address - Country:UM
Practice Address - Phone:603-318-2635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-18
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 133NN1002X
NH2225103TB0200X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education