Provider Demographics
NPI:1922815406
Name:DUNN, REBECCA E (SUPERVISEE IN SOCIAL)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:E
Last Name:DUNN
Suffix:
Gender:F
Credentials:SUPERVISEE IN SOCIAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 415
Mailing Address - Street 2:
Mailing Address - City:RADFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24143-0415
Mailing Address - Country:US
Mailing Address - Phone:540-818-9989
Mailing Address - Fax:
Practice Address - Street 1:309 10TH ST
Practice Address - Street 2:
Practice Address - City:RADFORD
Practice Address - State:VA
Practice Address - Zip Code:24141-3007
Practice Address - Country:US
Practice Address - Phone:540-818-9989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-17
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker