Doctor Name: | MR. DAVID L. DONALDSON |
NPI Number: | 1023126885 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LAC |
License Number: | 668 |
Business Practice Address: | 1325 Wyoming St Missoula, MT - 598011725 |
Business Phone Number: | 4065329800 |
Business Fax Number: | 4065413032 |
Mailing Address: | T-9 Fort Missoula, MISSOULA |
State: | MT |
Postal Code: | 598047202 |
Phone Number: | 4065328400 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 668 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |