Provider Demographics
NPI:1407337272
Name:DONES, CLAUDETTE ELISA (CRPA-P, CASAC-T)
Entity Type:Individual
Prefix:
First Name:CLAUDETTE
Middle Name:ELISA
Last Name:DONES
Suffix:
Gender:F
Credentials:CRPA-P, CASAC-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 MANITOU ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-5609
Mailing Address - Country:US
Mailing Address - Phone:516-416-8154
Mailing Address - Fax:
Practice Address - Street 1:14 MANITOU ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-5609
Practice Address - Country:US
Practice Address - Phone:516-416-8154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY34780101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)