Provider Demographics
NPI:1851790505
Name:LEFFEW, DONNA (LCPC)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:LEFFEW
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6322 AYRSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-2263
Mailing Address - Country:US
Mailing Address - Phone:443-235-3141
Mailing Address - Fax:
Practice Address - Street 1:6322 AYRSHIRE DR
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-2263
Practice Address - Country:US
Practice Address - Phone:443-235-3141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1067101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor