Healthcare Provider Details

I. General information

NPI: 1376358531
Provider Name (Legal Business Name): LINDSEY NICOLE DUNBAR LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2025
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 W 11TH ST
PUEBLO CO
81003-2801
US

IV. Provider business mailing address

2212 CLIFFMOOR LN
PUEBLO CO
81008-2357
US

V. Phone/Fax

Practice location:
  • Phone: 719-948-7120
  • Fax:
Mailing address:
  • Phone: 970-749-1493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0021925
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: