Individual provider · Type 1 NPI
Dominique Lindsen Reison, MA, APCC
Professional Counselor · San Diego, CA
NPI number
1336559954
Active
Practice location
1260 Morena Blvd Ste 100
San Diego, CA 92110-3850
Fax (619) 398-0350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | APCC4793 (CA) |
Professional Counselor: Definition to come...
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About NPI 1336559954
Dominique Lindsen Reison, MA, APCC's National Provider Identifier is 1336559954, issued on May 5, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Diego, CA. The record was last updated on Feb 14, 2018.