Individual provider · Type 1 NPI

Wayne Domalaon

Mental Health Counselor · Shreveport, LA

NPI number 1275905325 Active

Practice location

9000 W Wilderness Way Apt 32
Shreveport, LA 71106-6832

Call (318) 675-9101 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1275905325

Wayne Domalaon's National Provider Identifier is 1275905325, issued on Oct 28, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Oct 28, 2015.