Provider Demographics
NPI:1619475266
Name:DUNNE, DANIELLE M (LAC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:M
Last Name:DUNNE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:M
Other - Last Name:OVERPECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4646 E 2ND ST STE B
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-1107
Mailing Address - Country:US
Mailing Address - Phone:520-332-4092
Mailing Address - Fax:520-232-3070
Practice Address - Street 1:4646 E 2ND ST STE B
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-1107
Practice Address - Country:US
Practice Address - Phone:520-332-4092
Practice Address - Fax:520-232-3070
Is Sole Proprietor?:No
Enumeration Date:2018-01-29
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-15831101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health