National Provider Identifier
Jill Marie Dunstan, LMHC, CASAC
Jill Marie Dunstan, LMHC, CASAC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Hamburg, NY and a listed phone number of (716) 474-4400.
Profile Overview
- NPI
- 1770810608
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- November 13, 2009
- Last Updated
- March 22, 2022
Practice Location
- 190 Sunset Dr
- Hamburg, NY 14075-4349
Phone: (716) 474-4400
Specialties
- Mental Health Counselor (101YM0800X)
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1770810608
- Entity Type
- Individual
- Last Name
- Dunstan
- First Name
- Jill
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- LMHC, CASAC
- Provider Other Last Name
- Izydorczak
- Provider Other First Name
- Jill
- Provider Other Middle Name
- Marie
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- LMHC, CASAC
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 190 Sunset Dr
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-4349
- Mailing Country
- US
- Mailing Phone
- (716) 474-4400
- Practice Street Address
- 190 Sunset Dr
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075-4349
- Practice Country
- US
- Practice Phone
- (716) 474-4400
- Enumeration Date
- November 13, 2009
- Last Updated
- March 22, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 22, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X), Addiction (Substance Use Disorder) Counselor (101YA0400X)