Individual
TONY DONATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, MFT, LPC
Contact information
Practice address
750 TRICIA PL, COOS BAY, OR 97420-6803
(541) 404-9286
Mailing address
PO BOX 473, COOS BAY, OR 97420-0050
(541) 404-9286
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1712
OR
Other
Enumeration date
03/23/2007
Last updated
02/05/2022
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