Provider Demographics
NPI:1306147558
Name:DONADEE, MARIANNE (LMFT)
Entity type:Individual
Prefix:
First Name:MARIANNE
Middle Name:
Last Name:DONADEE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 554
Mailing Address - Street 2:
Mailing Address - City:LA VERNE
Mailing Address - State:CA
Mailing Address - Zip Code:91750-0554
Mailing Address - Country:US
Mailing Address - Phone:909-596-5868
Mailing Address - Fax:
Practice Address - Street 1:630 W BONITA AVE
Practice Address - Street 2:#8E
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-4515
Practice Address - Country:US
Practice Address - Phone:909-596-5868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-04
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC46653106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist