Doctor Name: | MR. PATRICK MICHAEL MCDONALD |
NPI Number: | 1710266481 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.A.D.C. |
License Number: | 302376 |
Business Practice Address: | 2055 White Bear Ave N Maplewood, MN - 551093716 |
Business Phone Number: | 6512090560 |
Business Fax Number: | |
Mailing Address: | 2275 Henry St N, NORTH SAINT PAUL |
State: | MN |
Postal Code: | 551093337 |
Phone Number: | 6512782894 |
Fax Number: | |
NPI Enumeration Date: | 08/11/2011 |
NPI Last Update Date: | 08/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 302376 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |