Provider Demographics
NPI:1861899676
Name:DUNN, SADE MARIE (LCPC)
Entity type:Individual
Prefix:
First Name:SADE
Middle Name:MARIE
Last Name:DUNN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2217
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20604-2217
Mailing Address - Country:US
Mailing Address - Phone:301-899-6222
Mailing Address - Fax:833-211-2431
Practice Address - Street 1:9015 WOODYARD RD STE 202-203
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-4209
Practice Address - Country:US
Practice Address - Phone:301-899-6222
Practice Address - Fax:135-683-2489
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-21
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC14799101YM0800X
MDPC7182101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health