Provider Demographics
NPI:1386690105
Name:DONAJKOWSKI, SHELLEY D (LPC)
Entity Type:Individual
Prefix:
First Name:SHELLEY
Middle Name:D
Last Name:DONAJKOWSKI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12601 NE WOODINVILLE DR.
Mailing Address - Street 2:SUITE E1
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072
Mailing Address - Country:US
Mailing Address - Phone:989-884-1280
Mailing Address - Fax:
Practice Address - Street 1:610 CARING ST
Practice Address - Street 2:
Practice Address - City:HILLMAN
Practice Address - State:MI
Practice Address - Zip Code:49746-8818
Practice Address - Country:US
Practice Address - Phone:989-742-4583
Practice Address - Fax:989-742-4298
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISD008349101YP2500X
WALH00011362101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health