Individual
ANNIE LEIGH DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 S 2ND AVE, COVINA, CA 91723-3017
(626) 974-8123
(626) 974-8198
Mailing address
1842 E WORKMAN AVE APT 120, WEST COVINA, CA 91791-7401
(626) 650-1250
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
09/21/2023
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