Healthcare Provider Details

I. General information

NPI: 1861899676
Provider Name (Legal Business Name): SADE MARIE DUNN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2014
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9015 WOODYARD RD STE 202-203
CLINTON MD
20735-4209
US

IV. Provider business mailing address

PO BOX 2217
WALDORF MD
20604-2217
US

V. Phone/Fax

Practice location:
  • Phone: 301-899-6222
  • Fax: 135-683-2489
Mailing address:
  • Phone: 301-899-6222
  • Fax: 833-211-2431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC7182
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701009146
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPRC14799
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: