Individual
MS. DONNA RAE MAYOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
2414 PARK AVE, MINNEAPOLIS, MN 55404-3713
(612) 879-5293
(612) 879-5272
Mailing address
2414 PARK AVE, MINNEAPOLIS, MN 55404-3713
(612) 879-5293
(612) 879-5272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1263
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61350900
—
MN
Enumeration date
11/14/2006
Last updated
07/08/2007
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