Provider Demographics
NPI:1538524426
Name:DUNMYER, JENINE RENEE (MA)
Entity type:Individual
Prefix:MRS
First Name:JENINE
Middle Name:RENEE
Last Name:DUNMYER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MRS
Other - First Name:JENINE
Other - Middle Name:RENEE
Other - Last Name:DUNMYER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:2439 EASTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89701-5879
Mailing Address - Country:US
Mailing Address - Phone:169-517-2800
Mailing Address - Fax:
Practice Address - Street 1:755 N ROOP ST STE 101
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89701-3107
Practice Address - Country:US
Practice Address - Phone:605-077-5841
Practice Address - Fax:775-841-6053
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-21
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI1127101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health