Provider Demographics
NPI:1063897791
Name:DONALDSON, SHERRY (LMHC, MHP, CMHS)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:DONALDSON
Suffix:
Gender:F
Credentials:LMHC, MHP, CMHS
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:
Other - Last Name:PREWITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4991 W MCDOUGAL RD
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:WA
Mailing Address - Zip Code:99006-8752
Mailing Address - Country:US
Mailing Address - Phone:509-939-7178
Mailing Address - Fax:
Practice Address - Street 1:22 S THOR ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-4855
Practice Address - Country:US
Practice Address - Phone:509-532-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-23
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH000006960101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health