Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 13779 | NC |
NPI | 1003318577 |
---|---|
Provider Name | Lindsey Yvette Donatien |
First Address | Charlotte, NC 28209-3650 |
Second Address | Charlotte, NC 28209-3650 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2018 |
Last Update Date | 13/09/2020 |