Individual
SEAN-MICHAEL RICHARD DUNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA PSYCH.
Contact information
Practice address
3830 S. CUSHMAN STREET, FAIRBANKS, AK 99701
(907) 455-5304
(907) 455-1460
Mailing address
3290 HELEN PLACE, FAIRBANKS, AK 99709
(907) 455-6567
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH0157
—
AK
Enumeration date
10/15/2010
Last updated
02/24/2012
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