Provider Demographics
NPI:1144671215
Name:SAVAGE, DONNA S (LMFT#84735)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:S
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:LMFT#84735
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5242 KATELLA AVENUE, SUITE 206
Mailing Address - Street 2:SUITE 206
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720
Mailing Address - Country:US
Mailing Address - Phone:424-262-5910
Mailing Address - Fax:562-386-0600
Practice Address - Street 1:5242 KATELLA AVENUE, SUITE 206
Practice Address - Street 2:SUITE 206
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720
Practice Address - Country:US
Practice Address - Phone:424-262-5910
Practice Address - Fax:562-386-6000
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-29
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA84735106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist