Provider Demographics
NPI:1730474818
Name:CRONISER, DONNA M (LPCC-S)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:M
Last Name:CRONISER
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4125 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-2063
Mailing Address - Country:US
Mailing Address - Phone:419-936-7575
Mailing Address - Fax:419-472-8675
Practice Address - Street 1:4125 MONROE ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-2063
Practice Address - Country:US
Practice Address - Phone:419-936-7575
Practice Address - Fax:419-472-8675
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0002361101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional