Individual
MRS. ELAINE DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. L.P.E.
Contact information
Practice address
323 W WALNUT ST, SUITE 219, JOHNSON CITY, TN 37604-6760
(423) 434-9943
Mailing address
323 W WALNUT ST, SUITE 219, JOHNSON CITY, TN 37604-6760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PE0000011186
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
305-8435
BCBS OF TN
TN
Enumeration date
10/29/2006
Last updated
07/08/2007
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