Healthcare Provider Details

I. General information

NPI: 1285357319
Provider Name (Legal Business Name): DONJIM INTEGRATIVE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2022
Last Update Date: 09/23/2022
Certification Date: 09/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

336 PENNY ST
MCKEESPORT PA
15132-3116
US

IV. Provider business mailing address

336 PENNY ST
MCKEESPORT PA
15132-3116
US

V. Phone/Fax

Practice location:
  • Phone: 412-877-1977
  • Fax:
Mailing address:
  • Phone: 412-877-1977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DONALD JAMES RINDFUSS
Title or Position: OWNER
Credential: LCSW-C
Phone: 412-787-8315