Provider Demographics
NPI:1902383128
Name:MCDONALD, RONNESHIA LASHAWN
Entity Type:Individual
Prefix:MS
First Name:RONNESHIA
Middle Name:LASHAWN
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 MATTHEWS ST
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-1962
Mailing Address - Country:US
Mailing Address - Phone:845-294-5124
Mailing Address - Fax:
Practice Address - Street 1:27 MATTHEWS ST
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-1962
Practice Address - Country:US
Practice Address - Phone:845-291-5124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-20
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)