Individual
JONATHAN DUNLAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPC, LPC-S, BC-TMH
Contact information
Practice address
10 CANEBRAKE BLVD STE 110-038, FLOWOOD, MS 39232-2211
(601) 613-2079
(601) 429-9469
Mailing address
147 LINKS DR APT 29A, CANTON, MS 39046-5288
(601) 613-2079
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1560
MS
Other
Enumeration date
08/26/2009
Last updated
08/16/2020
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