Healthcare Provider Details

I. General information

NPI: 1992299523
Provider Name (Legal Business Name): AMANDA DUNBAR MS, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMANDA KULBACKI MS, LMHC

II. Dates (important events)

Enumeration Date: 06/18/2018
Last Update Date: 08/20/2024
Certification Date: 08/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 RAILROAD AVE. UNIT B4
EPPING NEW HAMPSHIRE
03042
UM

IV. Provider business mailing address

75 RAILROAD AVE UNIT B4
EPPING NH
03042-3540
US

V. Phone/Fax

Practice location:
  • Phone: 603-318-2635
  • Fax:
Mailing address:
  • Phone: 603-780-4960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number2225
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2225
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: