Healthcare Provider Details

I. General information

NPI: 1841236627
Provider Name (Legal Business Name): ANN DURDEN DONOVAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2305 N PARHAM RD SUITE 3
RICHMOND VA
23229-3156
US

IV. Provider business mailing address

2305 N PARHAM RD SUITE 3
RICHMOND VA
23229-3156
US

V. Phone/Fax

Practice location:
  • Phone: 804-270-1124
  • Fax: 804-270-2090
Mailing address:
  • Phone: 804-270-1124
  • Fax: 804-270-2090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701003517
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: