| Doctor Name: | DONNA MARIE BRUNETTI |
| NPI Number: | 1003068131 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC, LMHC |
| License Number: | RA010680315 |
| Business Practice Address: | 3235 Lupine Lake Forest, CA - 926308442 |
| Business Phone Number: | 8454067245 |
| Business Fax Number: | 2063330954 |
| Mailing Address: | 3235 Lupine, LAKE FOREST |
| State: | CA |
| Postal Code: | 926308442 |
| Phone Number: | 8454067245 |
| Fax Number: | 2063330954 |
| NPI Enumeration Date: | 10/21/2008 |
| NPI Last Update Date: | 05/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | RA010680315 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |