Provider Demographics
NPI:1295534386
Name:LAVAL, DONNA (MHS, LCADC)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:LAVAL
Suffix:
Gender:
Credentials:MHS, LCADC
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:
Other - Last Name:STAGG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MHS
Mailing Address - Street 1:906 STAGECOACH CT
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-1782
Mailing Address - Country:US
Mailing Address - Phone:862-588-9638
Mailing Address - Fax:
Practice Address - Street 1:6 PARK AVE
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1319
Practice Address - Country:US
Practice Address - Phone:908-782-7905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00388200101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)