SAMUEL DONALDSON


Address: 4479 Concord St, Detroit, MI 48207-1908
Phone: 3137273382

SAMUEL DONALDSON (NPI# 1992152185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992152185
Entity Type Individual
Full Name SAMUEL DONALDSON
Practice Address 4479 Concord St
Detroit
MI 48207-1908
Practice Telephone 3137273382
Enumeration Date 2016-05-18
Last Update Date 2016-05-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Other Providers SAMUEL DONALDSON

NPI Name Taxonomy Address Enumeration
1346736741 Samuel Andrew Donaldson Psychologist 1308 Walnut Ave, Austin, TX 78702-1530 2018-07-09

Office Location

Street Address 4479 CONCORD ST
City DETROIT
State MI
Zip Code 48207-1908

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1396309878 Darnesha Coy Counselor 17870 Dresden St, Detroit, MI 48205-3138 2019-04-30
1518438746 Curron Thomas Counselor 16850 Wyoming St, Apartment 328, Detroit, MI 48221-3415 2018-12-16
1861962094 Reid Talley Counselor 12010 Elmhurst, Detroit, MI 48206 2018-11-30
1205304359 Life Challenge of Southeastern Michigan Counselor 17667 Pierson St, Detroit, MI 48219-2520 2018-11-07
1598233892 Michigan Employment & Training Plus Counselor 6522 Piedmont St, Detroit, MI 48228-4950 2018-11-05
1821588773 Avery Brown Jr. Counselor 8333 Townsend St, Detroit, MI 48213-2331 2018-05-16
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Competitor

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City DETROIT
Zip Code 48207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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