Healthcare Provider Details

I. General information

NPI: 1053222703
Provider Name (Legal Business Name): SPOTTED TERRIER COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2442 COUNTY HOUSE RD
PENN YAN NY
14527-9317
US

IV. Provider business mailing address

2442 COUNTY HOUSE RD
PENN YAN NY
14527-9317
US

V. Phone/Fax

Practice location:
  • Phone: 862-243-2216
  • Fax:
Mailing address:
  • Phone: 862-243-2216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE DUNNE
Title or Position: OWNER
Credential: LPC/LMHC
Phone: 862-243-2216