Individual provider · Type 1 NPI
Jose A. Dominguez, M.EDU.
Professional Counselor · Lowell, MA
NPI number
1629614862
Active
Practice location
22 Old Canal Dr
Lowell, MA 01851-2730
Fax (978) 970-0713
Mailing address
116 Lowell Blvd
Methuen, MA 01844-1813
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1629614862
Jose A. Dominguez, M.EDU.'s National Provider Identifier is 1629614862, issued on Nov 22, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lowell, MA. The record was last updated on Nov 22, 2019.