Provider Demographics
NPI:1841769189
Name:DUNN, LINDA MARIE (MA LMFT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:MARIE
Last Name:DUNN
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3867 DELANO CT
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-2830
Mailing Address - Country:US
Mailing Address - Phone:805-791-1870
Mailing Address - Fax:
Practice Address - Street 1:3867 DELANO CT
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-2830
Practice Address - Country:US
Practice Address - Phone:805-791-1870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-15
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT45536106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist