Fred H Donaldson

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Decatur, AL

NPI 1487808804 · NPPES record last updated Nov 12, 2008

Key facts

NPI
1487808804
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
4110 US Highway 31 S
Decatur, AL 35603-1644
Phone
(256) 355-6105
NPI assigned
Nov 12, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Center of North Central Alabama Past Accepting new patients
Mental Health Center of North Central Alabama Inc. Past
since May 6, 1996
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

4110 US Highway 31 S
Decatur, AL 35603-1644

Mailing address

1316 Somerville Rd SE
Suite 1
Decatur, AL 35601-4305
Phone (256) 355-6105

Other providers in Decatur, AL

All providers in Decatur, AL · Addiction (Substance Use Disorder) Counselor in Alabama

Sources for this page

Verify at the official NPI Registry.