MEDICARE: MS. MEREDITH RENEE DUNN M.S., 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	101YP2500X	Professional Counselor	17559	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1124148150	OTHER	TX	GROUP NPI - THROUGH LEGACY FAMILY COUNSELING AND CONSULTING

General Provider Information

NPI Number	:	1699069120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MEREDITH RENEE DUNN M.S., LPC

Provider Business Mailing Address
First Line	:	1400 PRESTON RD
Second Line	:	SUITE 400
City	:	PLANO
State	:	TX
Zip	:	75093-5186
Country	:	US
Telephone Number	:	972-665-9758
Fax Number	:	214-291-5443

Provider Business Practice Location Address
First Line	:	1400 PRESTON RD
Second Line	:	SUITE 400
City	:	PLANO
State	:	TX
Zip	:	75093-5186
Country	:	US
Telephone Number	:	972-665-9758
Fax Number	:	214-291-5443

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

Provider Enumeration Date	:	06/01/2011
Last Update Date	:	06/01/2011

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