Provider Demographics
NPI:1245877638
Name:DONAHUE, CARA NOEL
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:NOEL
Last Name:DONAHUE
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 1:86 TORRINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06019-3324
Mailing Address - Country:US
Mailing Address - Phone:860-978-6575
Mailing Address - Fax:
Practice Address - Street 1:FARMINGTON VALLEY COUNSELING CENTER
Practice Address - Street 2:111 SIMSBURY RD
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06019
Practice Address - Country:US
Practice Address - Phone:860-255-4017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-04
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0107811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical