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NPI Code Detail

MEDICARE: LAUREN ASH-DONOHO CADTP#8785

MEDICARE:   LAUREN  ASH-DONOHO  CADTP#8785
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) CounselorCAODCCA

General Provider Information

NPI Number : 1811461320
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ASH-DONOHO CADTP#8785
Provider Business Mailing Address
First Line : 2350 6TH AVE APT 2H
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-1637
Country : US
Telephone Number : 619-309-5981
Fax Number :
Provider Business Practice Location Address
First Line : 3594 4TH AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-4989
Country : US
Telephone Number : 619-296-1151
Fax Number : 619-296-6218
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2019
Last Update Date : 01/17/2019

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Directions to “ LAUREN ASH-DONOHO CADTP#8785” Practice Location

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