Provider Demographics
NPI:1215296231
Name:DUNNING, FRED IRVINE JR (LMFT)
Entity type:Individual
Prefix:MR
First Name:FRED
Middle Name:IRVINE
Last Name:DUNNING
Suffix:JR
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12277 APPLE VALLEY RD # 290
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92308-1701
Mailing Address - Country:US
Mailing Address - Phone:760-938-5240
Mailing Address - Fax:760-998-3508
Practice Address - Street 1:18838 US HIGHWAY 18
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2332
Practice Address - Country:US
Practice Address - Phone:760-938-5240
Practice Address - Fax:760-998-3508
Is Sole Proprietor?:No
Enumeration Date:2012-05-10
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CALMFT101214101YM0800X, 106H00000X
CAMLFT101214106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health