Provider Demographics
NPI:1326376138
Name:ZUMBRUNNEN, JOANN (LCSW)
Entity Type:Individual
Prefix:
First Name:JOANN
Middle Name:
Last Name:ZUMBRUNNEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1762
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-0184
Mailing Address - Country:US
Mailing Address - Phone:541-357-9439
Mailing Address - Fax:541-743-0758
Practice Address - Street 1:927 COUNTRY CLUB RD STE 200
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2272
Practice Address - Country:US
Practice Address - Phone:541-357-9439
Practice Address - Fax:541-722-7043
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-07
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL44231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical