Individual
CHARLES DUNNING JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-S
Contact information
Practice address
11715 RANDLE LN, FORT WORTH, TX 76179-9271
(817) 851-8264
Mailing address
11715 RANDLE LN, FORT WORTH, TX 76179-9271
(817) 851-8264
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15045
TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS
TX
Enumeration date
11/01/2021
Last updated
11/01/2021
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