Asil Donna
Individual provider Active NPI Marriage & Family Therapist · Loleta, CA
NPI 1275318917 · NPPES record last updated Dec 30, 2024
Key facts
- NPI
- 1275318917
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 149476 (CA)
- Practice address
- PO Box 619
Loleta, CA 95551-0619 - Phone
- (360) 359-6427
- NPI assigned
- Aug 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 149476 | CA | Yes |
Addresses
Primary practice location
PO Box 619
Loleta, CA 95551-0619
Mailing address
2312 Columbine Rd
Weed, CA 96094-9631
Phone (530) 859-2782
Other practice location 1
322 1/2 W Center St
Yreka, CA 96097-2908
Phone (530) 841-7190
Other providers in Loleta, CA
- Bear River Band of the Rohnerville Rancheria
- George Henry Brenard
- Deborah M Elmore
- Flourish Midlife Medical Corp
- Halouluwiwuduk
- Loleta Union Elementary School District
- Gillian Mary Sparrow
All providers in Loleta, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.