Healthcare Provider Details

I. General information

NPI: 1841080546
Provider Name (Legal Business Name): KATHERINE DUNN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 SANTA CLARA AVE STE 165
OAKLAND CA
94610-1333
US

IV. Provider business mailing address

55 SANTA CLARA AVE STE 165
OAKLAND CA
94610-1333
US

V. Phone/Fax

Practice location:
  • Phone: 510-485-0008
  • Fax:
Mailing address:
  • Phone: 510-485-0008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number138343
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: