MEDICARE: GENEVIEVE SARAH RUTH DUNN MA, R-DMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		HI

General Provider Information

NPI Number	:	1184571747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENEVIEVE SARAH RUTH DUNN MA, R-DMT

Provider Business Mailing Address
First Line	:	547 ILIAINA ST
Second Line	:
City	:	KAILUA
State	:	HI
Zip	:	96734-1812
Country	:	US
Telephone Number	:	808-286-4526
Fax Number	:

Provider Business Practice Location Address
First Line	:	1025 WAIMANU ST UNIT 103
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96814-3427
Country	:	US
Telephone Number	:	808-286-4526
Fax Number	:	213-325-9172

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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