Individual
LEE ELLEN DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
1 WASHINGTON AVE STE 300, LOGAN, WV 25601-3966
(304) 710-8541
Mailing address
1 WASHINGTON AVE STE 300, LOGAN, WV 25601-3966
(304) 710-8541
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
18-925
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18-925
—
WV
Enumeration date
04/14/2022
Last updated
04/14/2022
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