Provider Demographics
NPI:1487891206
Name:NAVARRO, DONNA MISCHELL (PHD, LPC)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:MISCHELL
Last Name:NAVARRO
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:MISCHELL
Other - Last Name:DORAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18603 SALADO CYN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-1631
Mailing Address - Country:US
Mailing Address - Phone:808-772-7796
Mailing Address - Fax:
Practice Address - Street 1:18603 SALADO CYN
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-1631
Practice Address - Country:US
Practice Address - Phone:808-772-7796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-15
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17674101YP2500X
103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103T00000XBehavioral Health & Social Service ProvidersPsychologist