Provider Demographics
NPI:1316050974
Name:MARTIN, DONNA JANEEN (LPC)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:JANEEN
Last Name:MARTIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8211 APRIL BND
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-3618
Mailing Address - Country:US
Mailing Address - Phone:210-682-4582
Mailing Address - Fax:210-682-4582
Practice Address - Street 1:9650 DATAPOINT DR
Practice Address - Street 2:SUITE 108
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-2389
Practice Address - Country:US
Practice Address - Phone:210-872-4534
Practice Address - Fax:210-682-4582
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17265101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional