Provider Demographics
NPI:1285840454
Name:DONAHUE, ERIN CATHERINE (MFT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:CATHERINE
Last Name:DONAHUE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 196
Mailing Address - Street 2:
Mailing Address - City:EAST THETFORD
Mailing Address - State:VT
Mailing Address - Zip Code:05043-0196
Mailing Address - Country:US
Mailing Address - Phone:802-779-7187
Mailing Address - Fax:
Practice Address - Street 1:321 ROUTE 113
Practice Address - Street 2:
Practice Address - City:EAST THETFORD
Practice Address - State:VT
Practice Address - Zip Code:05043-0196
Practice Address - Country:US
Practice Address - Phone:802-779-7187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT097-0001040101YM0800X
CA22852106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist