Provider Demographics
NPI:1073866265
Name:DONAHUE, JULIE ANN (LPC, LPCMH)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:ANN
Last Name:DONAHUE
Suffix:
Gender:F
Credentials:LPC, LPCMH
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:ANN
Other - Last Name:DAKUNCHAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LPCMH
Mailing Address - Street 1:7 PINECREST DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-1414
Mailing Address - Country:US
Mailing Address - Phone:610-764-8652
Mailing Address - Fax:
Practice Address - Street 1:7 PINECREST DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810
Practice Address - Country:US
Practice Address - Phone:610-764-8652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005805101Y00000X
DEPC-0000548101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health