Doctor Name: | MS. LISAANNE MARIE DONAHUE |
NPI Number: | 1194876615 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 37PC00062500 |
Business Practice Address: | 42 Delsea Dr S Glassboro, NJ - 080282621 |
Business Phone Number: | 8568630006 |
Business Fax Number: | 8568817614 |
Mailing Address: | 42 Delsea Dr S, GLASSBORO |
State: | NJ |
Postal Code: | 080282621 |
Phone Number: | 8568630006 |
Fax Number: | 8568817614 |
NPI Enumeration Date: | 01/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 37PC00062500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |