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Mrs. Anetira Mary Donelan
Peer Specialist in Tumwater, Washington
NPI 1770111718

Anetira Mary Donelan is a Peer Specialist based in Tumwater, WA. Anetira Mary Donelan practices in Tumwater, WA. The NPI Number for Anetira Mary Donelan is 1770111718 and holds a License No. (Washington).

The current practice location address for Anetira Mary Donelan is 3285 Ferguson St Sw, Tumwater, WA and can be reached out via phone at 360-943-1907. You can also correspond with Anetira Mary Donelan through the mailing address at PO BOX 14339, TUMWATER, WA - 98511-4339 (mailing address contact number: 360-943-1907).

Location: 3285 Ferguson St Sw, Tumwater, WA, 98511-4339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770111718
Provider Name
Anetira Mary Donelan
Credential
Provider Entity Type
Individual
Gender
Female
Address
3285 Ferguson St Sw, Tumwater, WA, 98511-4339
Phone Number
360-943-1907
Fax Number
Provider Enumeration Date
03/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3285 Ferguson St Sw
City
Tumwater
State
Washington
Zip
98512
Phone Number
360-943-1907
Fax Number
person
Provider Business Mailing Address Details
Address
3285 Ferguson St Sw
City
Tumwater
State
Washington
Zip
98512
Phone Number
360-943-1907
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Washington)
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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