Individual
MS. IMELDA DONATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3108 W HAMMER LN STE B, STOCKTON, CA 95209-2752
(209) 440-0143
Mailing address
PO BOX 693133, STOCKTON, CA 95269-3133
(209) 440-0143
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10174
CA
Other
Enumeration date
07/27/2016
Last updated
04/01/2025
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