Tomeka Dunnigan, AMFT
Individual provider Active NPI Mental Health Counselor · Venice, CA
NPI 1194222166 · NPPES record last updated Jun 12, 2024
Key facts
- NPI
- 1194222166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- AMFT104624 (CA)
- Practice address
- 204 Hampton Dr
Venice, CA 90291-8633 - Phone
- (310) 396-6468
- NPI assigned
- Apr 6, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT104624 | CA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 104624 | CA | |
| Marriage & Family Therapist | 106H00000X | |||
| Mental Health Counselor | 101YM0800X | AMFT104624 | CA | Yes |
Addresses
Primary practice location
204 Hampton Dr
Venice, CA 90291-8633
Mailing address
204 Hampton Dr
Venice, CA 90291-8633
Phone (310) 396-6468
Other practice location 1
600 N Alameda St
Compton, CA 90221-2605
Phone (323) 242-5000
Other practice location 2
1411 W 190th St
Gardena, CA 90248-4324
Phone (310) 719-3908
Other providers in Venice, CA
- Dream Services Inc
- Katherine Mackenzie Duffy
- Sara Duncan
- Scott Albert Dunn
- Danielle Dunne
- Alan Ebling
- Brandon Edenedo
- El Dorado Community Service Center
- Mary Hunter Ellegood
- Emily Elson
All providers in Venice, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.