Individual provider · Type 1 NPI

Mia Renee Dominguez

Mental Health Counselor · Las Vegas, NV

NPI number 1285353458 Active

Practice location

2715 E Russell Rd
Las Vegas, NV 89120-2426

Mailing address

1575 W Warm Springs Rd Unit 624
Henderson, NV 89014-3515

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1285353458

Mia Renee Dominguez's National Provider Identifier is 1285353458, issued on Aug 23, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Las Vegas, NV. The record was last updated on Aug 23, 2022.