Individual
CYNTHIA JO DONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, SAC-IT
Contact information
Practice address
10045 W LISBON AVE, WAUWATOSA, WI 53222-2446
(414) 358-7999
(414) 358-7158
Mailing address
10045 W LISBON AVE, WAUWATOSA, WI 53222-2446
(414) 358-7999
(414) 358-7158
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15955130
WI
101YM0800X
Mental Health Counselor
4896-125
WI
104100000X
Social Worker
Primary
4896-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396025417
—
WI
Enumeration date
08/19/2011
Last updated
12/06/2013
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