Healthcare Provider Details
I. General information
NPI: 1528299856
Provider Name (Legal Business Name): ALLISON AIKO DONAHOE-BEGGS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/04/2009
Last Update Date: 08/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
29748 RANCHO CALIFORNIA RD
TEMECULA CA
92591-5286
US
IV. Provider business mailing address
29748 RANCHO CALIFORNIA RD
TEMECULA CA
92591-5286
US
V. Phone/Fax
- Phone: 951-694-0695
- Fax: 951-695-6215
- Phone: 951-694-0695
- Fax: 951-695-6215
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | LCS 25484 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: