Provider Demographics
NPI:1366588493
Name:DUNN, JODY L (LPC, LMFT)
Entity type:Individual
Prefix:
First Name:JODY
Middle Name:L
Last Name:DUNN
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 GOODE ST
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-4519
Mailing Address - Country:US
Mailing Address - Phone:985-876-2697
Mailing Address - Fax:985-876-2532
Practice Address - Street 1:601 GOODE ST
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-4519
Practice Address - Country:US
Practice Address - Phone:985-876-2697
Practice Address - Fax:985-876-2532
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2703101Y00000X
LA673106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist