Healthcare Provider Details

I. General information

NPI: 1033939434
Provider Name (Legal Business Name): GABRIELLE DUNNING LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2024
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 S CHURCH ST STE 18&20
MOUNT LAUREL NJ
08054-2936
US

IV. Provider business mailing address

36802 CHERRY ST APT 201
NEWARK CA
94560-3757
US

V. Phone/Fax

Practice location:
  • Phone: 973-793-1348
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01270800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: