MEDICARE: MS. CHRISTINE ANN DUNHAM LCMHC, LCPC, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	CC4372	ME
2	101YP2500X	Professional Counselor	CC4372	ME
3	101YM0800X	Mental Health Counselor	830	NH
4	101YM0800X	Mental Health Counselor	94839	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467628578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHRISTINE ANN DUNHAM LCMHC, LCPC, LPC

Provider Business Mailing Address
First Line	:	22552 PARK ROAD 25
Second Line	:
City	:	MATHIS
State	:	TX
Zip	:	78368-4582
Country	:	US
Telephone Number	:	603-662-6265
Fax Number	:	603-297-1972

Provider Business Practice Location Address
First Line	:	22552 PARK ROAD 25
Second Line	:
City	:	MATHIS
State	:	TX
Zip	:	78368-4582
Country	:	US
Telephone Number	:	603-662-6265
Fax Number	:	603-297-1972

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2008
Last Update Date	:	06/11/2026

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