Provider Demographics
NPI:1881884450
Name:DUNNING, DAVID M (MFT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:DUNNING
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2533
Mailing Address - Street 2:
Mailing Address - City:ORANGEVALE
Mailing Address - State:CA
Mailing Address - Zip Code:95662-7402
Mailing Address - Country:US
Mailing Address - Phone:916-316-0595
Mailing Address - Fax:
Practice Address - Street 1:1895 E ROSEVILLE PKWY
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-7976
Practice Address - Country:US
Practice Address - Phone:916-316-0595
Practice Address - Fax:916-242-8836
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 42288106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist