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Individual
DONNA KINGSBURY
Active
Individual
DONNA KINGSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2895, 3865
SC
101YM0800X
Mental Health Counselor
Primary
2895 AND 3865
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AD16DO
—
SC
01
—
LPC SUPERVISOR 3865
LIC. PROF. COUN. SUPERVIS
SC
01
—
LPC-2895
LICENSED PROF. COUNSELOR
SC
Enumeration date
07/05/2007
Last updated
07/12/2018
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