Provider Demographics
NPI:1962699793
Name:DUNSTON, PHOEBE-ANN O (LCSW)
Entity type:Individual
Prefix:
First Name:PHOEBE-ANN
Middle Name:O
Last Name:DUNSTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:PHOEBE-ANN
Other - Middle Name:D
Other - Last Name:OSALBO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2458 ARNOLD ST
Mailing Address - Street 2:
Mailing Address - City:DUPONT
Mailing Address - State:WA
Mailing Address - Zip Code:98327-8714
Mailing Address - Country:US
Mailing Address - Phone:415-827-7894
Mailing Address - Fax:
Practice Address - Street 1:9040 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-1634
Practice Address - Country:US
Practice Address - Phone:415-827-7894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO09927192104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker