| NPI | 1326414731 |
|---|---|
| Professional Name | DONTAE ANTUAN DONNELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11737) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 21953) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2019-11-05 |