Provider Demographics
NPI:1558486530
Name:SPAUGY, DONALD ARTHUR (RAS)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:ARTHUR
Last Name:SPAUGY
Suffix:
Gender:M
Credentials:RAS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2909 MORRO CT
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-7109
Mailing Address - Country:US
Mailing Address - Phone:924-706-0390
Mailing Address - Fax:925-313-6390
Practice Address - Street 1:597 CENTER AVE
Practice Address - Street 2:SUITE 320
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-4640
Practice Address - Country:US
Practice Address - Phone:925-313-6322
Practice Address - Fax:925-313-6390
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAS0501041741101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)