Individual
SEAN PAULINE DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18501 GALE AVE, CITY OF INDUSTRY, CA 91748-1329
(626) 626-4997
Mailing address
18501 GALE AVE, CITY OF INDUSTRY, CA 91748-1329
(626) 626-4997
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
42073
—
167G00000X
Licensed Psychiatric Technician
Primary
42073
CA
Other
Enumeration date
08/25/2021
Last updated
01/22/2025
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