Individual
EMILIE L GRANT DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 PLEASANT ST, LYNN, MA 01901-1524
(978) 808-3701
Mailing address
18 BARR ST, SALEM, MA 01970-2302
(978) 808-3701
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
104100000X
Social Worker
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326673609
—
MA
Enumeration date
03/07/2020
Last updated
02/25/2023
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