Katlin Dunford
Individual provider Active NPI Counselor · Stockbridge, MI
NPI 1508456641 · NPPES record last updated May 6, 2022
Key facts
- NPI
- 1508456641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 6451022024 (MI)
- Practice address
- 12408 McCreery Rd
Stockbridge, MI 49285-9400 - Phone
- (248) 625-2970
- Fax
- (248) 625-6829
- NPI assigned
- Jan 22, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451022024 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katlin Dunford | Current |
Accepting new patients | |
| Iron Range Behavioral Services, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Counselor | 101Y00000X | 6451022024 | MI | Yes |
Addresses
Primary practice location
12408 McCreery Rd
Stockbridge, MI 49285-9400
Mailing address
12408 McCreery Rd
Stockbridge, MI 49285-9400
Phone (248) 625-2970
Other providers in Stockbridge, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.