Shelley Rae Donahue, ECSE, TVI/COMS
Rehabilitation Counselor, Orientation and Mobility Training Provider in Jefferson City, MO. Individual provider (NPI-1).
NPI number1902678956
StatusActive
Last updated in NPPESOct 24, 2023
Details
- NPI
- 1902678956
- Entity type
- Individual (NPI-1)
- Name
- Shelley Rae Donahue
- Credential
- ECSE, TVI/COMS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2023
- Certification date
- Oct 24, 2023
- Last updated
- Oct 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225CX0006X | Rehabilitation Counselor, Orientation and Mobility Training Provider | – | MO | Yes |
Practice location
205 Jefferson StJefferson City, MO 65101-2901
Phone 573-751-4212
Mailing address
Po Box 480Jefferson City, MO 65102-0480
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