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Individual
JACQUELINE DONAHUE
Active
Individual
JACQUELINE DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY31339
CA
208000000X
Pediatrics Physician
PSY31339
CA
225C00000X
Rehabilitation Counselor
2012897
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/17/2014
Last updated
12/04/2020
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