Individual
MR. SEAN P DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT SPECIAL
Contact information
Practice address
114 S DELAWARE ST, SAN MATEO, CA 94401-3222
(650) 579-7881
Mailing address
114 S DELAWARE ST, SAN MATEO, CA 94401-3222
(650) 579-7881
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-MKGVZO
CA
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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