Most Relevant Information
Provider Data
NPI Number: | 1003579285 |
Provider Name: | BRIANNA ELAINE DUNN |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 10/15/2021 |
Last Updated: | 10/20/2021 |
Provider Practice Location
1345 BIRCH AVE
COTTAGE GROVE
OR
974241416
Practice Location Phone/Fax
Phone: | 5419423939 |
Fax: |
Provider Mailing Location
1345 BIRCH AVE
COTTAGE GROVE
OR
974241416
Provider Mailing Phone/Fax
Phone: | 5417676095 |
Fax: |