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NPI Code Detail

MEDICARE: ALEXIS DANIELLE DUNHAM

MEDICARE: ALEXIS DANIELLE DUNHAM
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
1101YP2500XProfessional Counselor308400KY

General Provider Information

NPI Number : 1275306409
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS DANIELLE DUNHAM
Provider Business Mailing Address
First Line : 7426 US HIGHWAY 42 STE 106
Second Line :
City : FLORENCE
State : KY
Zip : 41042-2056
Country : US
Telephone Number : 859-282-0119
Fax Number : 859-282-8018
Provider Business Practice Location Address
First Line : 7426 US HIGHWAY 42 STE 106
Second Line :
City : FLORENCE
State : KY
Zip : 41042-2056
Country : US
Telephone Number : 859-282-0119
Fax Number : 859-282-8018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2023
Last Update Date : 05/26/2026

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Directions to “ ALEXIS DANIELLE DUNHAM ” Practice Location

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