Individual provider · Type 1 NPI
Jose Dominguez Rodriguez Sr., MH-14987
Mental Health Counselor · Miami, FL
NPI number
1376991968
Active
Practice location
5816 SW 5th St
Miami, FL 33144-3904
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | PMH 1274 (FL) |
| Behavior Analyst | 103K00000X | MH-14987 (FL) |
| Mental Health Counselor Primary | 101YM0800X | MH-14987 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1376991968
Jose Dominguez Rodriguez Sr., MH-14987's National Provider Identifier is 1376991968, issued on May 25, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Miami, FL. The record was last updated on Mar 17, 2021.