Provider Demographics
NPI:1205451630
Name:DUNKELBERGER, BRIANNE LAUREN (MA, LMHC)
Entity type:Individual
Prefix:
First Name:BRIANNE
Middle Name:LAUREN
Last Name:DUNKELBERGER
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 1ST AVE S STE C
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:IA
Mailing Address - Zip Code:50009-1968
Mailing Address - Country:US
Mailing Address - Phone:515-443-9682
Mailing Address - Fax:
Practice Address - Street 1:700 1ST AVE S STE C
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:IA
Practice Address - Zip Code:50009-1968
Practice Address - Country:US
Practice Address - Phone:515-443-9682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-11
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA100328101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health