Provider Demographics
NPI:1912480633
Name:DUNBAR, TONJA P
Entity Type:Individual
Prefix:
First Name:TONJA
Middle Name:P
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TONJA
Other - Middle Name:P
Other - Last Name:DUNBAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:TONJA DUNBAR, LMFT
Mailing Address - Street 1:14359 US HIGHWAY 319 N LOT 31
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31757-2185
Mailing Address - Country:US
Mailing Address - Phone:229-233-1215
Mailing Address - Fax:
Practice Address - Street 1:14359 US HIGHWAY 319 N LOT 31
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:GA
Practice Address - Zip Code:31757-2185
Practice Address - Country:US
Practice Address - Phone:229-233-1215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-09
Last Update Date:2018-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALMFT1571106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist