Healthcare Provider Details

I. General information

NPI: 1033604806
Provider Name (Legal Business Name): WILLIAM F DONAHUE MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: WILLIAM FRANCIS DONAHUE MS

II. Dates (important events)

Enumeration Date: 06/25/2018
Last Update Date: 06/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2822 E COLFAX AVE
DENVER CO
80206-1507
US

IV. Provider business mailing address

2822 E COLFAX AVE
DENVER CO
80206-1507
US

V. Phone/Fax

Practice location:
  • Phone: 303-953-2299
  • Fax: 303-955-8830
Mailing address:
  • Phone: 303-953-2299
  • Fax: 303-955-8830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberNLC.0108160
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: