Provider Demographics
NPI:1780849679
Name:MAY, DONNA JEAN (MFT)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:JEAN
Last Name:MAY
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:JEAN
Other - Last Name:MAY-CRETE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:625 BUTTE STREET
Mailing Address - Street 2:
Mailing Address - City:YREKA
Mailing Address - State:CA
Mailing Address - Zip Code:96097
Mailing Address - Country:US
Mailing Address - Phone:530-841-0911
Mailing Address - Fax:
Practice Address - Street 1:625 BUTTE STREET
Practice Address - Street 2:
Practice Address - City:YREKA
Practice Address - State:CA
Practice Address - Zip Code:96097
Practice Address - Country:US
Practice Address - Phone:530-841-0911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-21
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC40621106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist