Provider Demographics
NPI:1720204563
Name:HACKER, DONNA LYNN
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:LYNN
Last Name:HACKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:829 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-2422
Mailing Address - Country:US
Mailing Address - Phone:707-253-8470
Mailing Address - Fax:707-253-1182
Practice Address - Street 1:829 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-2422
Practice Address - Country:US
Practice Address - Phone:707-253-8470
Practice Address - Fax:707-253-1182
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor