MR. DONARD IDADA LISW NPI 1467703306

NPI Information

MR. Donard Idada, LISW is a mental health counselor in Westlake, OH. MR. Donard Idada, LISW NPI is 1467703306. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

24500 CENTER RIDGE RD STE 110
WESTLAKE, OH
ZIP 44145
Phone: (857) 334-6317

The NPI 1467703306 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 10/1/2012 and was last updated on 7/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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