Individual
DR. CHERYL HEULETTE DUNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5209 YORK RD SUITE 2, BALTIMORE, MD 21212
(410) 537-0698
(410) 488-5424
Mailing address
5424 GARDENWOOD RD, BALTIMORE, MD 21206
(410) 537-0698
(410) 488-5424
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA256
MD
101YM0800X
Mental Health Counselor
—
MD
101YS0200X
School Counselor
—
MD
102L00000X
Psychoanalyst
Primary
—
MD
106H00000X
Marriage & Family Therapist
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3421870
AETNA PROVIDER NUMBER
MD
01
—
595719-000
MAGELLAN PROVIDER NUMBER
MD
01
—
M500
BCBS PROVIDER NUMBER
MD
Enumeration date
05/01/2007
Last updated
04/20/2017
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