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NPI Code Detail

MEDICARE: CHRIS DUNBAUGH LMFT

MEDICARE: CHRIS DUNBAUGH LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker
2101YM0800XMental Health Counselor
3106H00000XMarriage & Family TherapistLMFT84796CA

General Provider Information

NPI Number : 1407989700
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRIS DUNBAUGH LMFT
Provider Business Mailing Address
First Line : 11512 B AVE
Second Line :
City : AUBURN
State : CA
Zip : 95603-2605
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11512 B AVE
Second Line :
City : AUBURN
State : CA
Zip : 95603-2605
Country : US
Telephone Number : 916-543-7429
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 07/08/2015

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