Provider Demographics
NPI:1740433192
Name:DONEGAN, MELISSA ARRIAGA (BA)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:ARRIAGA
Last Name:DONEGAN
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4990 WILLIAMS AVE
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-3409
Mailing Address - Country:US
Mailing Address - Phone:619-668-4231
Mailing Address - Fax:619-698-1665
Practice Address - Street 1:4990 WILLIAMS AVE
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-3409
Practice Address - Country:US
Practice Address - Phone:619-648-0474
Practice Address - Fax:619-698-1665
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-29
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)