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NPI Code Detail

MEDICARE: CHERI L DONAHUE MHC

MEDICARE: CHERI L DONAHUE MHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH24479FL

General Provider Information

NPI Number : 1063626307
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERI L DONAHUE MHC
Provider Business Mailing Address
First Line : 150 MAGNOLIA AVE
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32114-4304
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 330 KAY LARKIN DR
Second Line :
City : PALATKA
State : FL
Zip : 32177-2307
Country : US
Telephone Number : 800-539-4228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2007
Last Update Date : 11/11/2024

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Directions to “ CHERI L DONAHUE MHC” Practice Location

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