Individual
MR. DERRYL IVAN DUNN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 ORMOND BLVD STE B, LA PLACE, LA 70068-3760
(985) 224-2998
(985) 224-2995
Mailing address
1 ORMOND BLVD STE B, LA PLACE, LA 70068-3760
(985) 224-2998
(504) 224-2995
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/07/2018
Last updated
08/07/2018
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