Provider Demographics
NPI:1750712576
Name:WESS, DONNA (MS, LCADC, LPC, ACS)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:WESS
Suffix:
Gender:F
Credentials:MS, LCADC, LPC, ACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3073 ENGLISH CREEK AVE
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-9711
Mailing Address - Country:US
Mailing Address - Phone:609-652-1600
Mailing Address - Fax:609-652-2226
Practice Address - Street 1:312 E WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-9565
Practice Address - Country:US
Practice Address - Phone:609-226-6597
Practice Address - Fax:609-652-2226
Is Sole Proprietor?:No
Enumeration Date:2013-12-04
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00519400101YP2500X
NJ1770796575101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional