Individual provider · Type 1 NPI

Jon M. Domachowski, M.A., PLPC

Counselor · St. Louis, MO

NPI number 1558658807 Active

Practice location

1 University Blvd
St. Louis, MO 63121-4400

Call (314) 516-7231 Map

Fax (314) 516-6624

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X2011020016 (MO)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1558658807

Jon M. Domachowski, M.A., PLPC's National Provider Identifier is 1558658807, issued on Jul 7, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 7, 2011.