Healthcare Provider Details

I. General information

NPI: 1154844843
Provider Name (Legal Business Name): KIRSTEN RAE DUNSFORD LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2017
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1099 STATE ROUTE 131
MILFORD OH
45150-4801
US

IV. Provider business mailing address

1099 STATE ROUTE 131
MILFORD OH
45150-4801
US

V. Phone/Fax

Practice location:
  • Phone: 513-831-1314
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2505580
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC.2305274
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: