Provider Demographics
NPI:1023807856
Name:BUMGARNER, DONA
Entity type:Individual
Prefix:
First Name:DONA
Middle Name:
Last Name:BUMGARNER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 GRANDVIEW ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-3015
Mailing Address - Country:US
Mailing Address - Phone:408-802-9399
Mailing Address - Fax:
Practice Address - Street 1:740 FRONT ST STE 370
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-4584
Practice Address - Country:US
Practice Address - Phone:831-713-5609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT152960101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health