Individual provider · Type 1 NPI
Connie Ruth Dominy, LPC
Mental Health Counselor · Macon, GA
NPI number
1255538161
Active
Practice location
745 Riverside Drive Ln
Macon, GA 31201-2658
Fax (478) 742-3515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 002333 (GA) |
Mental Health Counselor: Definition to come...
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About NPI 1255538161
Connie Ruth Dominy, LPC's National Provider Identifier is 1255538161, issued on Jul 3, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Macon, GA. The record was last updated on Jul 8, 2007.