STEPHEN DONNELLAN
NPI 1043627391
Counselor in Petaluma, CA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since July 18, 2014

365 KUCK LN, PETALUMA, CA 94952(707) 795-6954 Get Directions Write a Review

NPPES record last updated: July 18, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Stephen Donnellan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN DONNELLAN (NPI 1043627391) is an individual counselor in Petaluma, California and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1043627391

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameSTEPHEN DONNELLAN

Location Address365 KUCK LNPetaluma, CA 94952-9606

Mailing Address365 Kuck LnPetaluma, CA 94952-9606 · (707) 795-6954

Phone(707) 795-6954

Sole ProprietorNo

Enumeration DateJuly 18, 2014

✔ NPI 1043627391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

365 KUCK LN, Petaluma, CA 94952

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