Provider Demographics
NPI:1538499678
Name:BRAUN-DUNAGAN, ALETHEA (MA, LPC)
Entity Type:Individual
Prefix:
First Name:ALETHEA
Middle Name:
Last Name:BRAUN-DUNAGAN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 N BEAVER ST
Mailing Address - Street 2:BLDG 4
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-3139
Mailing Address - Country:US
Mailing Address - Phone:928-774-7997
Mailing Address - Fax:928-774-0300
Practice Address - Street 1:710 N BEAVER ST
Practice Address - Street 2:BLDG 4
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-3139
Practice Address - Country:US
Practice Address - Phone:928-774-7997
Practice Address - Fax:928-774-0300
Is Sole Proprietor?:No
Enumeration Date:2010-01-13
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-14420101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional