Robin W. Dunn, M.s., L.p.c., Inc. | |
505 Cove Rd Suite 3 Jasper GA 30143-1363 | |
(770) 548-1966 | |
(706) 692-2221 |
Full Name | Robin W. Dunn, M.s., L.p.c., Inc. |
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Speciality | Community/Behavioral Health |
Location | 505 Cove Rd, Jasper, Georgia |
Authorized Official Name and Position | Robin Wesley Dunn (LIC. PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 7705481966 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Robin W. Dunn, M.s., L.p.c., Inc. 505 Cove Rd Suite 3 Jasper GA 30143-1363 Ph: (770) 548-1966 | Robin W. Dunn, M.s., L.p.c., Inc. 505 Cove Rd Suite 3 Jasper GA 30143-1363 Ph: (770) 548-1966 |
NPI Number | 1275765992 |
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Provider Enumeration Date | 08/13/2009 |
Last Update Date | 02/11/2016 |
Medicare PECOS PAC ID | 6204285521 |
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Medicare Enrollment ID | O20231212003584 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275765992 | NPI | - | NPPES |
700781091A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LPC001535 (Georgia) | Primary |
Provider Name | Robin Wesley Dunn |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1457343535 PECOS PAC ID: 7012366339 Enrollment ID: I20231212003654 |
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