Provider Demographics
NPI:1124266655
Name:MCDONALD, JONI HUNTER
Entity type:Individual
Prefix:
First Name:JONI
Middle Name:HUNTER
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:291 CONNIE LYNNE DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-9599
Mailing Address - Country:US
Mailing Address - Phone:318-878-8656
Mailing Address - Fax:318-878-0922
Practice Address - Street 1:508 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:DELHI
Practice Address - State:LA
Practice Address - Zip Code:71232-3002
Practice Address - Country:US
Practice Address - Phone:318-878-0919
Practice Address - Fax:318-878-0922
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA76441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical