Doctor Name: | MS. KELLY LYNN DONOVAN |
NPI Number: | 1851572341 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A, M.F.T. |
License Number: | |
Business Practice Address: | 75-5591 Kuakini Hwy Ste 3006 Kailua Kona, HI - 96740 |
Business Phone Number: | 8089384162 |
Business Fax Number: | 8083318485 |
Mailing Address: | 73-4322 Keokeo St, KAILUA KONA |
State: | HI |
Postal Code: | 967408540 |
Phone Number: | 8089384162 |
Fax Number: | 8083318485 |
NPI Enumeration Date: | 11/26/2007 |
NPI Last Update Date: | 12/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |