Provider Demographics
NPI:1023819844
Name:PALMER, DONALD (LPC)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:PALMER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 TERRACE AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:HASBROUCK HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07604-1945
Mailing Address - Country:US
Mailing Address - Phone:732-618-7501
Mailing Address - Fax:
Practice Address - Street 1:270 TERRACE AVE APT 1
Practice Address - Street 2:
Practice Address - City:HASBROUCK HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07604-1945
Practice Address - Country:US
Practice Address - Phone:732-618-7501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC01060800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional