Healthcare Provider Details

I. General information

NPI: 1922830264
Provider Name (Legal Business Name): SIERRA M DUNBAR LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SEIRRA M DUNBAR

II. Dates (important events)

Enumeration Date: 08/15/2024
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1905 OAK CREEK RD APT 108
RIVER RIDGE LA
70123-5853
US

IV. Provider business mailing address

1905 OAK CREEK RD APT 108
RIVER RIDGE LA
70123-5853
US

V. Phone/Fax

Practice location:
  • Phone: 504-756-6436
  • Fax:
Mailing address:
  • Phone: 504-505-3835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC10262
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: