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Individual

ALBA LETICIA DONOVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
COLONY DR, SAN LUIS OBISPO, CA 93409-0001
(805) 602-7229
Mailing address
20 S SANTA CRUZ AVE STE 300, LOS GATOS, CA 95030-6827
(805) 602-7229

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TF0200X
Forensic Psychologist
Primary
33772
CA

Other

Enumeration date
09/07/2011
Last updated
05/15/2024
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