Delila S Donaldson in Coos Bay - Addiction (substance Use Disorder)

Delila S Donaldson - NPI 1114112133

Delila S Donaldson is a Addiction (substance Use Disorder) in Coos Bay, Oregon. Delila S Donaldson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Delila S Donaldson is 1114112133. The last update date is 2023-11-01.

Delila S Donaldson's current location address is Po Box 802, Coos Bay, Oregon. You can contact this provider via phone number 5413668225 and fax number 8777751788. The mailing address for Delila S Donaldson is Po Box 802, Coos Bay, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Delila S Donaldson
Address Po Box 802, Coos Bay, Oregon
Phone Number 5413668225
Fax Number 8777751788
Sole Proprietor N
Credentials LCSW, CAC

NPI Number Detail

NPI Number 1114112133
Provider Enumeration Date 2007-09-12
Last Updated Date 2023-11-01

Provider Mailing Address Detail

Address Po Box 802
City Coos Bay
State Oregon (OR)
Post Code 974200148
Phone Number 5413668225
Fax Number 8777751788

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No ACC-4913
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
L7749 OR LCSW
500740695 OR --

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FAQs about Delila S Donaldson

What is the unique provider identifier assigned to Delila S Donaldson?

The Delila S Donaldson has been issued the NPI (National Provider Identifier) 1114112133 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Delila S Donaldson's facilities are situated?

The facilities of Delila S Donaldson are physically located at the following address: Po Box 802, Coos Bay, OR, 974200148.

What is Delila S Donaldson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Delila S Donaldson is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.

On what date was the 1114112133 assigned to Delila S Donaldson?

The Delila S Donaldson was issued its 1114112133 on 2007-09-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Delila S Donaldson's information last updated?

The Delila S Donaldson's information was last updated on 2023-11-01.

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