Individual provider · NPI-1

Shelly Marie Donaldson

Counselor, Mental Health · Kaysville, UT

NPI number1407738156
StatusActive
Last updated in NPPESJul 23, 2025

Details

NPI
1407738156
Entity type
Individual (NPI-1)
Name
Shelly Marie Donaldson
Sex
Female
Sole proprietor
No
Enumeration date
Jul 23, 2025
Certification date
Jul 23, 2025
Last updated
Jul 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health13038895-6004UTYes

Practice location

498 N 900 W Ste 220
Kaysville, UT 84037-4189

Phone 801-525-4645

Mailing address

9155 George Washington Memorial Hwy
Gloucester, VA 23061-4174

Phone 734-634-3174

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