Individual
VICKIE E DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1719 SW 11TH ST, LAWTON, OK 73501-7305
(580) 248-5780
(580) 353-3202
Mailing address
1719 SW 11TH ST, LAWTON, OK 73501-7305
(580) 512-6234
(580) 581-1819
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1237
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/06/2009
Last updated
08/27/2020
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