Provider Demographics
NPI:1790010452
Name:DUNBAR, BERNADETTE MARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:MARIE
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:BERNADETTE
Other - Middle Name:MARIE
Other - Last Name:GLADD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:270 E. DOUGLAS AVE #4
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-4514
Mailing Address - Country:US
Mailing Address - Phone:858-245-2867
Mailing Address - Fax:
Practice Address - Street 1:270 E. DOUGLAS AVE #4
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-4514
Practice Address - Country:US
Practice Address - Phone:619-780-7828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-13
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical