Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Donovan Waller Ackley III, PHDRADT-1

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1154870442

Dr. Donovan Waller Ackley III, PHDRADT-1 is an Addiction (Substance Use Disorder) Counselor in El Cajon, California. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

1400 N Johnson Ave 101
El Cajon, CA 92020-1650
Phone: (619) 442-0277
Fax: (619) 442-1101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1154870442
Entity typeIndividual (Type 1)
GenderMale
Credentials PHDRADT-1
Sole proprietorYes
NPI enumeratedSeptember 27, 2016
Last updated in NPPESAugust 23, 2018

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