Provider Demographics
NPI:1568719599
Name:JUST, DONNA MARIE (LMSW-CC)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:MARIE
Last Name:JUST
Suffix:
Gender:F
Credentials:LMSW-CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 DEWEY STREET
Mailing Address - Street 2:
Mailing Address - City:HULLS COVE
Mailing Address - State:ME
Mailing Address - Zip Code:04644-0236
Mailing Address - Country:US
Mailing Address - Phone:207-610-4184
Mailing Address - Fax:
Practice Address - Street 1:1 DEWEY ST.
Practice Address - Street 2:
Practice Address - City:HULLS COVE
Practice Address - State:ME
Practice Address - Zip Code:04644-0236
Practice Address - Country:US
Practice Address - Phone:207-610-4184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC54001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical