Provider Demographics
NPI:1932594777
Name:ALVES, DONNA (LCCC, LPC)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:ALVES
Suffix:
Gender:F
Credentials:LCCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 GREEN KNOLLS LN
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-3509
Mailing Address - Country:US
Mailing Address - Phone:203-522-4266
Mailing Address - Fax:
Practice Address - Street 1:27 GREEN KNOLLS LN
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-3509
Practice Address - Country:US
Practice Address - Phone:203-522-4266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16785174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist