Provider Demographics
NPI:1659198596
Name:DUNLAP, CHRISTIAN M
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:M
Last Name:DUNLAP
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:993 POSTAL WAY
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-6945
Mailing Address - Country:US
Mailing Address - Phone:760-630-9922
Mailing Address - Fax:
Practice Address - Street 1:993 POSTAL WAY
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-6945
Practice Address - Country:US
Practice Address - Phone:760-630-9922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)