| Doctor Name: | DONNA ENFIELD |
| NPI Number: | 1245635309 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | X-08924 |
| Business Practice Address: | Exit 102 1/2 Mi S Of I-40 San Fidel, NM - 87049 |
| Business Phone Number: | 5055525317 |
| Business Fax Number: | |
| Mailing Address: | Po Box 130, SAN FIDEL |
| State: | NM |
| Postal Code: | 870490130 |
| Phone Number: | 5055525317 |
| Fax Number: | |
| NPI Enumeration Date: | 10/30/2014 |
| NPI Last Update Date: | 10/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | X-08924 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |