Provider Demographics
NPI:1871933127
Name:SARVELA, DONNA MARIE (LCSW, LAADC)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:MARIE
Last Name:SARVELA
Suffix:
Gender:F
Credentials:LCSW, LAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2139 N 1200 E
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:UT
Mailing Address - Zip Code:84754-3356
Mailing Address - Country:US
Mailing Address - Phone:619-654-0821
Mailing Address - Fax:
Practice Address - Street 1:2139 N 1200 E
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:UT
Practice Address - Zip Code:84754-3356
Practice Address - Country:US
Practice Address - Phone:619-654-0821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARALR01120315101YA0400X
CA826651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)