Individual
MR. CHARLES D DONALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLP, LPC
Contact information
Practice address
603 E 16TH ST, HOLLAND, MI 49423-3794
(616) 355-3000
(616) 355-7704
Mailing address
603 E 16TH ST, HOLLAND, MI 49423-3794
(616) 355-3000
(616) 355-7704
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401003770
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401003770
MI
101YM0800X
Mental Health Counselor
6401003770
MI
101YP2500X
Professional Counselor
6401003770
MI
103T00000X
Psychologist
6301009941
MI
103TA0400X
Addiction (Substance Use Disorder) Psychologist
6301009941
MI
103TB0200X
Cognitive & Behavioral Psychologist
6301009941
MI
103TC0700X
Clinical Psychologist
6301009941
MI
103TC1900X
Counseling Psychologist
6301009941
MI
103TF0000X
Family Psychologist
6301009941
MI
103TF0200X
Forensic Psychologist
6301009941
MI
103TP2701X
Group Psychotherapy Psychologist
6301009941
MI
103TR0400X
Rehabilitation Psychologist
Primary
6301009941
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0895544
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/22/2007
Last updated
09/11/2025
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