Individual provider · Type 1 NPI

Micaiah Dominguez

Mental Health Counselor · Brooklyn, NY

NPI number 1093384026 Active

Practice location

134 N 4th St
Brooklyn, NY 11249-3296

Mailing address

217 Hamilton Ave Apt 3E
Staten Island, NY 10301-1636

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1093384026

Micaiah Dominguez's National Provider Identifier is 1093384026, issued on Jun 23, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brooklyn, NY. The record was last updated on Jun 23, 2021.