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Provider Information for 1952662785


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Mr. MICHAEL DUNN MA, LMFT, CSAT, MAC,


Sex: Male

NPI: 1952662785
Last Updated: 2021-10-06
Certification Date: 2021-10-06

Details

NameValue
NPI1952662785
Enumeration Date2012-06-07
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 1515 E SILVER SPRINGS BLVD STE 217
OCALA, FL 34470-6844
United States

Phone: 352-732-3333 | Fax:352-732-2469
 
Primary Practice Address 1515 E SILVER SPRINGS BLVD STE 217
OCALA, FL 34470-6844
United States

Phone: 352-732-3333 | Fax:352-732-2469
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other URL
Ocala
Verbal and written
Direct CSV 1515 E Silver Springs Blvd Ste 217
Ocala, FL 34470-6844
United States
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist FLMT3128