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NPI Code Detail

MEDICARE: MS. ANGELA ROSE DONOHUE

MEDICARE: MS. ANGELA ROSE DONOHUE
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1639448160
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANGELA ROSE DONOHUE
Provider Business Mailing Address
First Line : 102 S 11TH ST
Second Line :
City : SAN JOSE
State : CA
Zip : 95112-2132
Country : US
Telephone Number : 408-998-5191
Fax Number : 408-279-1930
Provider Business Practice Location Address
First Line : 102 S 11TH ST
Second Line :
City : SAN JOSE
State : CA
Zip : 95112-2132
Country : US
Telephone Number : 408-998-5191
Fax Number : 408-279-1930
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2011
Last Update Date : 12/29/2011

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Directions to “ MS. ANGELA ROSE DONOHUE ” Practice Location

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