Provider Demographics
NPI:1447581491
Name:BRENNAN-BARNETT, DONNA JEAN (CRC, CASAC)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:JEAN
Last Name:BRENNAN-BARNETT
Suffix:
Gender:F
Credentials:CRC, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 BRONX RIVER RD
Mailing Address - Street 2:APT. 5M
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-4461
Mailing Address - Country:US
Mailing Address - Phone:914-495-4470
Mailing Address - Fax:914-328-3166
Practice Address - Street 1:265 SAW MILL RIVER RD
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-1509
Practice Address - Country:US
Practice Address - Phone:914-495-4470
Practice Address - Fax:914-328-3166
Is Sole Proprietor?:No
Enumeration Date:2010-01-14
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22271101YA0400X
IL00084579225C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)