Provider Demographics
NPI:1548370372
Name:AUDSLEY, DONNA LEE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:LEE
Last Name:AUDSLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:DONNA
Other - Middle Name:LEE
Other - Last Name:MASSONI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:3601 S 6TH AVE
Mailing Address - Street 2:BUILDING 80, FIRST FLOOR
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85723-0001
Mailing Address - Country:US
Mailing Address - Phone:520-792-1450
Mailing Address - Fax:520-629-4728
Practice Address - Street 1:3601 S 6TH AVE
Practice Address - Street 2:BUILDING 80, FIRST FLOOR
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85723-0001
Practice Address - Country:US
Practice Address - Phone:520-792-1450
Practice Address - Fax:520-629-4728
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health