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Lee Ellen Donahue, PRSS
Peer Specialist in Logan, West Virginia
NPI 1497498836

Lee Ellen Donahue is a Peer Specialist based in Logan, WV. Lee Ellen Donahue practices in Logan, WV and has the professional credentials of PRSS. The NPI Number for Lee Ellen Donahue is 1497498836 and holds a License No. 18-925 (West Virginia).

The current practice location address for Lee Ellen Donahue is 1 Washington Ave Ste 300, Logan, WV and can be reached out via phone at 304-710-8541. You can also correspond with Lee Ellen Donahue through the mailing address at 1 WASHINGTON AVE STE 300, LOGAN, WV - 25601-3966 (mailing address contact number: 304-710-8541).

Location: 1 Washington Ave Ste 300, Logan, WV, 25601-3966
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497498836
Provider Name
Lee Ellen Donahue
Credential
PRSS
Provider Entity Type
Individual
Gender
Female
Address
1 Washington Ave Ste 300, Logan, WV, 25601-3966
Phone Number
304-710-8541
Fax Number
Provider Enumeration Date
04/14/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18-925 05 WV
institution
Provider Business Practice Location Address Details
Address
1 Washington Ave Ste 300
City
Logan
State
West Virginia
Zip
25601-3966
Phone Number
304-710-8541
Fax Number
person
Provider Business Mailing Address Details
Address
1 Washington Ave Ste 300
City
Logan
State
West Virginia
Zip
25601-3966
Phone Number
304-710-8541
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
18-925 (West Virginia)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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