Provider Demographics
NPI:1205070562
Name:CHRISTIANSEN-MARKS, DONNA (MS, EDDLMHC,CAP)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:
Last Name:CHRISTIANSEN-MARKS
Suffix:
Gender:F
Credentials:MS, EDDLMHC,CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:651 OKEECHOBEE BLVD
Mailing Address - Street 2:#409
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-6060
Mailing Address - Country:US
Mailing Address - Phone:561-436-9360
Mailing Address - Fax:
Practice Address - Street 1:651 OKEECHOBEE BLVD
Practice Address - Street 2:#409
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-6060
Practice Address - Country:US
Practice Address - Phone:561-436-9360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCAP 1756101YA0400X
FLMH 1646101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)