Individual provider · Type 1 NPI
Mary Ann Dom, LPC
Professional Counselor · Leon Valley, TX
NPI number
1356507586
Active
Practice location
6502 Bandera Rd Ste 202
Leon Valley, TX 78238-1454
Fax (210) 941-0682
Mailing address
2186 Jackson Keller Rd Ste 2134
San Antonio, TX 78213-2723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 12359 (TX) |
| Professional Counselor Primary | 101YP2500X | 12359 (TX) |
| Counselor | 101Y00000X | 12359 (TX) |
Professional Counselor: Definition to come...
Other professional counselor providers in Leon Valley
About NPI 1356507586
Mary Ann Dom, LPC's National Provider Identifier is 1356507586, issued on Aug 7, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Leon Valley, TX. The record was last updated on Jun 23, 2026.