Individual provider · Type 1 NPI
Kelwin Jairo Dominguez
Mental Health Counselor · Brooklyn, NY
NPI number
1487106415
Active
Practice location
1623 Kings Hwy
Brooklyn, NY 11229
Other practice locations
- 12 Park St Lowr Level, Brooklyn, NY 11206-4541 · (718) 963-4430
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1487106415
Kelwin Jairo Dominguez's National Provider Identifier is 1487106415, issued on Oct 25, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brooklyn, NY. The record was last updated on Mar 13, 2026.