Provider Demographics
NPI:1548132483
Name:DUNNE, JONAH
Entity type:Individual
Prefix:
First Name:JONAH
Middle Name:
Last Name:DUNNE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5307 GROVE EAST DR
Mailing Address - Street 2:
Mailing Address - City:SUNLAND PARK
Mailing Address - State:NM
Mailing Address - Zip Code:88063-9590
Mailing Address - Country:US
Mailing Address - Phone:575-277-9318
Mailing Address - Fax:
Practice Address - Street 1:5307 GROVE EAST DR
Practice Address - Street 2:
Practice Address - City:SUNLAND PARK
Practice Address - State:NM
Practice Address - Zip Code:88063-9590
Practice Address - Country:US
Practice Address - Phone:575-277-9318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-20
Last Update Date:2025-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty