Organization · Type 2 NPI
Elizabeth Domack LLC
Professional Counselor · Milford, CT
NPI number
1013558022
Active
Practice location
57 Plains Rd Ste 3C
Milford, CT 06461-2573
Mailing address
18 Rimmon Rd
Woodbridge, CT 06525-2002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1013558022
Elizabeth Domack LLC's National Provider Identifier is 1013558022, issued on Oct 1, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Milford, CT. The record was last updated on Oct 1, 2019.