Individual
EUGENE D MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6451022506
MI
101YP2500X
Professional Counselor
Primary
6451022506
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/18/2020
Last updated
01/31/2023
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