MEDICARE: KIERRA LEE-DUNSON

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	APC010654	GA

General Provider Information

NPI Number	:	1790376192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIERRA LEE-DUNSON

Provider Business Mailing Address
First Line	:	2300 PEACHFORD RD APT 3305
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30338-7148
Country	:	US
Telephone Number	:	404-396-7855
Fax Number	:

Provider Business Practice Location Address
First Line	:	1961 N DRUID HILLS RD NE
Second Line	:
City	:	BROOKHAVEN
State	:	GA
Zip	:	30329-1807
Country	:	US
Telephone Number	:	404-315-8333
Fax Number	:

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

Provider Enumeration Date	:	01/28/2021
Last Update Date	:	01/11/2026

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Directions to “ KIERRA LEE-DUNSON ” Practice Location

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