Provider Demographics
NPI:1568241412
Name:DUNN, KENNETH (CADC, PSS, CRS)
Entity type:Individual
Prefix:
First Name:KENNETH
Middle Name:
Last Name:DUNN
Suffix:
Gender:M
Credentials:CADC, PSS, CRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 HEAVENLY LN
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:NC
Mailing Address - Zip Code:28730-8695
Mailing Address - Country:US
Mailing Address - Phone:828-793-3733
Mailing Address - Fax:
Practice Address - Street 1:2 MCDOWELL ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4104
Practice Address - Country:US
Practice Address - Phone:828-225-6050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-28
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCM2023-10648-01175T00000X
NCCADC-30848101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No175T00000XOther Service ProvidersPeer Specialist