Provider Demographics
NPI:1639834112
Name:SAYLOR, DONNA E (LPCC)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:E
Last Name:SAYLOR
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 VISTA ALTA
Mailing Address - Street 2:
Mailing Address - City:TIJERAS
Mailing Address - State:NM
Mailing Address - Zip Code:87059-7800
Mailing Address - Country:US
Mailing Address - Phone:505-379-0683
Mailing Address - Fax:
Practice Address - Street 1:46 VISTA ALTA
Practice Address - Street 2:
Practice Address - City:TIJERAS
Practice Address - State:NM
Practice Address - Zip Code:87059-7800
Practice Address - Country:US
Practice Address - Phone:505-379-0683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-01
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCCMH0220721101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional