Provider Demographics
NPI:1720576382
Name:DUNBAR, BRIANNA KATHLEEN MERRY (MA LAMFT)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:KATHLEEN MERRY
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:MA LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4745 BLAISDELL AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55419-5504
Mailing Address - Country:US
Mailing Address - Phone:512-497-1412
Mailing Address - Fax:
Practice Address - Street 1:4450 NICOLLET AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55419-5035
Practice Address - Country:US
Practice Address - Phone:612-747-7114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-28
Last Update Date:2018-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist