Provider Demographics
NPI:1871173872
Name:DUNHAM, AMBER G (CP60956365)
Entity type:Individual
Prefix:MS
First Name:AMBER
Middle Name:G
Last Name:DUNHAM
Suffix:
Gender:F
Credentials:CP60956365
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11711 E SPRAGUE AVE STE D4
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-6122
Mailing Address - Country:US
Mailing Address - Phone:509-927-6838
Mailing Address - Fax:509-927-6845
Practice Address - Street 1:11711 E SPRAGUE AVE STE D4
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-6122
Practice Address - Country:US
Practice Address - Phone:509-927-6838
Practice Address - Fax:509-927-6845
Is Sole Proprietor?:No
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP60956365101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)