| Doctor Name: | MR. DONALD EUGENE WINDHAM |
| NPI Number: | 1306037338 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 102 W Main St San Jacinto, CA - 925834121 |
| Business Phone Number: | 9514878883 |
| Business Fax Number: | 9514878592 |
| Mailing Address: | 837 Ensenada Dr, HEMET |
| State: | CA |
| Postal Code: | 925451540 |
| Phone Number: | 9517667290 |
| Fax Number: | |
| NPI Enumeration Date: | 08/06/2007 |
| NPI Last Update Date: | 08/06/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |