Provider Demographics
NPI:1780227041
Name:DUNBAR, REBECCA MARIA
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:MARIA
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5214 DIAMOND HEIGHTS BLVD # 3422F
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-2118
Mailing Address - Country:US
Mailing Address - Phone:415-360-3348
Mailing Address - Fax:
Practice Address - Street 1:5214 DIAMOND HEIGHTS BLVD # 3422F
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94131-2118
Practice Address - Country:US
Practice Address - Phone:415-360-3348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-18
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA134602101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health