Provider Demographics
NPI:1205316254
Name:DUNN, DENISE ANNE (LMFT)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:ANNE
Last Name:DUNN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 NACIENTE
Mailing Address - Street 2:
Mailing Address - City:RANCHO MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92694-1828
Mailing Address - Country:US
Mailing Address - Phone:949-201-9351
Mailing Address - Fax:
Practice Address - Street 1:12 NACIENTE
Practice Address - Street 2:
Practice Address - City:RANCHO MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92694-1828
Practice Address - Country:US
Practice Address - Phone:949-201-9351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-20
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101039106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist