Healthcare Provider Details

I. General information

NPI: 1659750206
Provider Name (Legal Business Name): ERIN KATIE DUNN LICSW, CN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2015
Last Update Date: 01/18/2022
Certification Date: 01/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2808 S ASSEMBLY ROAD # 45
SPOKANE WA
99224
US

IV. Provider business mailing address

2808 S ASSEMBLY ROAD # 45
SPOKANE WA
99224
US

V. Phone/Fax

Practice location:
  • Phone: 608-772-4820
  • Fax:
Mailing address:
  • Phone: 608-772-4820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number61246092
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: