Individual provider · Type 1 NPI

Marcia Domecq, LCSW

Mental Health Counselor · Superior, WI

NPI number 1649445669 Active

Practice location

3500 Tower Ave, Essentia Health St, Mary's-Superior Clinic
Superior, WI 54880-4491

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3965-123 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1649445669

Marcia Domecq, LCSW's National Provider Identifier is 1649445669, issued on Apr 30, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Superior, WI. The record was last updated on Dec 2, 2015.