| Doctor Name: | DONNA RUTH DESCOTEAUX |
| NPI Number: | 1053566364 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 422 |
| Business Practice Address: | 815 A Main St. San Luis, CO - 811520684 |
| Business Phone Number: | 7196723143 |
| Business Fax Number: | |
| Mailing Address: | 813 Main St., P.o. Box 684 SAN LUIS |
| State: | CO |
| Postal Code: | 811520684 |
| Phone Number: | 7196723143 |
| Fax Number: | |
| NPI Enumeration Date: | 12/01/2008 |
| NPI Last Update Date: | 12/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 422 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |