Provider Demographics
NPI:1639294523
Name:DONATO, TERESA (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:
Last Name:DONATO
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MISS
Other - First Name:TERESA
Other - Middle Name:ANN
Other - Last Name:GUESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:404 N 31ST ST STE 419
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-1211
Mailing Address - Country:US
Mailing Address - Phone:406-696-2096
Mailing Address - Fax:
Practice Address - Street 1:404 N 31ST ST STE 419
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-1211
Practice Address - Country:US
Practice Address - Phone:406-696-2096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1309101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor