Provider Demographics
NPI:1508935743
Name:BRUNKENHOEFER, DONNA KONA (LCSW, QCSW, BCD)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:KONA
Last Name:BRUNKENHOEFER
Suffix:
Gender:F
Credentials:LCSW, QCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8402 KINGSWAY ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-2431
Mailing Address - Country:US
Mailing Address - Phone:210-573-0981
Mailing Address - Fax:210-543-1627
Practice Address - Street 1:8449 FM 471 S
Practice Address - Street 2:
Practice Address - City:CASTROVILLE
Practice Address - State:TX
Practice Address - Zip Code:78009-5313
Practice Address - Country:US
Practice Address - Phone:830-931-2514
Practice Address - Fax:830-931-0371
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203411041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool