Individual provider · Type 1 NPI
Jaime Domzalski, CT
Mental Health Counselor · Mantua, OH
NPI number
1639047368
Active
Practice location
10771 Main St
Mantua, OH 44255-8926
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | C.2507143-TRNE (OH) |
Mental Health Counselor: Definition to come...
About NPI 1639047368
Jaime Domzalski, CT's National Provider Identifier is 1639047368, issued on Oct 24, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mantua, OH. The record was last updated on Jan 21, 2026.