Provider Demographics
NPI:1457779597
Name:SCARROW, DONNA (MA)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:SCARROW
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1226 N 7TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-3025
Mailing Address - Country:US
Mailing Address - Phone:970-623-3910
Mailing Address - Fax:970-628-4884
Practice Address - Street 1:1226 N 7TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-3025
Practice Address - Country:US
Practice Address - Phone:970-623-3910
Practice Address - Fax:970-628-4884
Is Sole Proprietor?:No
Enumeration Date:2014-04-05
Last Update Date:2014-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0000440101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor