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Individual

ANNE TRIPP DUNHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
808 PARK PL, HAMPTON, VA 23669-4152
(863) 206-2692
(847) 589-1090
Mailing address
PO BOX I, HAMPTON, VA 23669-0256
(863) 206-2692
(847) 589-1090

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0701004787
VA
101YM0800X
Mental Health Counselor
MH10121
FL
101YP2500X
Professional Counselor
Primary
0701004787
VA

Other

Enumeration date
03/15/2010
Last updated
03/15/2010
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