Individual
MR. CLINTON TAYLOR DONALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
4305 MACARTHUR AVE, DALLAS, TX 75209-6511
(214) 526-4525
(214) 520-6468
Mailing address
4305 MACARTHUR AVE, DALLAS, TX 75209-6511
(214) 526-4525
(214) 520-6468
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
74400
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
74400
TX
101YM0800X
Mental Health Counselor
74400
TX
101YP2500X
Professional Counselor
Primary
74400
TX
Other
Enumeration date
08/31/2017
Last updated
11/29/2023
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