Daniel, Donna K.

Daniel, Donna K. is an individual health care provider with primary practice located at 72 Gail Harris St , Roswell NM 88203-8116. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Daniel, Donna K. can be contacted via phone (575) 347-3400.

Contact Information

Primary practice address
72 Gail Harris St Roswell NM 88203-8116
Phone: (575) 347-3400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-1206 Arizona
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0213001 New Mexico
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-1841 Arizona
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0213001 New Mexico
Behavioral Health & Social Service Providers / Professional 101YP2500X 0213001 New Mexico

Profile Details

NPI number 1013120211
LBN Legal business name Daniel, Donna K.
Credentials LPC,LPCC, ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Dec 15th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013120211 NPPES
New Mexico MEDICAID 273

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