Provider Demographics
NPI:1144659186
Name:DUNAETZ, KAREN M (LMFT)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:DUNAETZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 N. GLENDORA AVE.
Mailing Address - Street 2:SUITE 210
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741
Mailing Address - Country:US
Mailing Address - Phone:909-450-1416
Mailing Address - Fax:
Practice Address - Street 1:216 N GLENDORA AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-6924
Practice Address - Country:US
Practice Address - Phone:909-450-1416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53860106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist