Provider Demographics
NPI:1992715098
Name:DUNOFSKY, MECHTHILD JAEKEL (PHD LMFT)
Entity type:Individual
Prefix:
First Name:MECHTHILD
Middle Name:JAEKEL
Last Name:DUNOFSKY
Suffix:
Gender:F
Credentials:PHD LMFT
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:DUNOFSKY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:73-255 EL PASEO
Mailing Address - Street 2:SUITE 7
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-4246
Mailing Address - Country:US
Mailing Address - Phone:760-340-9725
Mailing Address - Fax:760-340-9730
Practice Address - Street 1:73-255 EL PASEO
Practice Address - Street 2:SUITE 7
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-4246
Practice Address - Country:US
Practice Address - Phone:760-340-9725
Practice Address - Fax:760-340-9730
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC33324106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist