Provider Demographics
NPI:1871304188
Name:DONALDSON, CAILENE JEAN (RMHCI)
Entity type:Individual
Prefix:
First Name:CAILENE
Middle Name:JEAN
Last Name:DONALDSON
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 E RIVER VALLEY ST APT C106
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646-2339
Mailing Address - Country:US
Mailing Address - Phone:208-250-3334
Mailing Address - Fax:
Practice Address - Street 1:3400 E RIVER VALLEY ST APT C106
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83646-2339
Practice Address - Country:US
Practice Address - Phone:208-250-3334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-16
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
ID6671957101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No251S00000XAgenciesCommunity/Behavioral Health