Provider Demographics
NPI:1346567252
Name:LASHURE, DONALD B (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:B
Last Name:LASHURE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2341 CARINGA WAY UNIT 1
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-6383
Mailing Address - Country:US
Mailing Address - Phone:760-942-1210
Mailing Address - Fax:
Practice Address - Street 1:4405 MANCHESTER AVE
Practice Address - Street 2:SUITE #103
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-4940
Practice Address - Country:US
Practice Address - Phone:760-942-1210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-01
Last Update Date:2010-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS-9106101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health