Provider Demographics
NPI:1760711105
Name:BUDDINGTON, DONNA D (MA MFT)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:D
Last Name:BUDDINGTON
Suffix:
Gender:F
Credentials:MA MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:399 MOTTSVILLE LN
Mailing Address - Street 2:
Mailing Address - City:GARDNERVILLE
Mailing Address - State:NV
Mailing Address - Zip Code:89460-6315
Mailing Address - Country:US
Mailing Address - Phone:775-781-4213
Mailing Address - Fax:775-782-3621
Practice Address - Street 1:399 MOTTSVILLE LN
Practice Address - Street 2:
Practice Address - City:GARDNERVILLE
Practice Address - State:NV
Practice Address - Zip Code:89460-6315
Practice Address - Country:US
Practice Address - Phone:775-781-4213
Practice Address - Fax:775-782-3621
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-14
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0838106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist