Provider Demographics
NPI:1780257956
Name:DUNAJ, HALEY GABRIELLE
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:GABRIELLE
Last Name:DUNAJ
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 1:2540 COUNTRY HILLS RD APT 158
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-4630
Mailing Address - Country:US
Mailing Address - Phone:818-585-6640
Mailing Address - Fax:
Practice Address - Street 1:12531 HARBOR BLVD STE G
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-5824
Practice Address - Country:US
Practice Address - Phone:714-638-5008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-23
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA998231041C0700X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical