Provider Demographics
NPI:1891558565
Name:DOVENBARGER, DONNA (CDCA186934)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:DOVENBARGER
Suffix:
Gender:F
Credentials:CDCA186934
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:KAY
Other - Last Name:DOVENBARGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:29820 TOWNSHIPS ROAD 209
Mailing Address - Street 2:29820 TOWNSHIPS ROAD 209
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812
Mailing Address - Country:US
Mailing Address - Phone:740-294-7411
Mailing Address - Fax:
Practice Address - Street 1:COSHOCTON COUNTY RECOVERY, LLC
Practice Address - Street 2:537 MAIN STR.
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812
Practice Address - Country:US
Practice Address - Phone:740-693-4113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.186934251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management