MEDICARE: MRS. JENINE RENEE DUNMYER M.A.

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	MI1127	NV

General Provider Information

NPI Number	:	1538524426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENINE RENEE DUNMYER M.A.

Provider Business Mailing Address
First Line	:	2439 EASTWOOD DR
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89701-5879
Country	:	US
Telephone Number	:	169-517-2800
Fax Number	:

Provider Business Practice Location Address
First Line	:	755 N ROOP ST STE 101
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89701-3107
Country	:	US
Telephone Number	:	605-077-5841
Fax Number	:	775-841-6053

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

Provider Enumeration Date	:	12/21/2015
Last Update Date	:	04/13/2020

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