Individual provider · Type 1 NPI

Dominique Dominguez

Mental Health Counselor · Philadelphia, PA

NPI number 1083171862 Active

Practice location

5043 Frankford Ave
Philadelphia, PA 19124-2644

Call (215) 744-4343 Map

Mailing address

12203 Barbary Rd
Philadelphia, PA 19154-1801

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1083171862

Dominique Dominguez's National Provider Identifier is 1083171862, issued on Feb 27, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 27, 2019.