Individual provider · Type 1 NPI
Ketty Dominguez, LMHC
Mental Health Counselor · Palm Beach Gardens, FL
NPI number
1144855636
Active
Practice location
4580 Pga Blvd Ste 205
Palm Beach Gardens, FL 33418-3920
Mailing address
1743 Newhaven Point Ln
West Palm Beach, FL 33411-6609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH17812 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1144855636
Ketty Dominguez, LMHC's National Provider Identifier is 1144855636, issued on Mar 5, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Palm Beach Gardens, FL. The record was last updated on Oct 24, 2024.