Individual provider · Type 1 NPI

Martha Dominguez

Mental Health Counselor · Bronx, NY

NPI number 1669860912 Active

Practice location

3600 Jerome Ave
Bronx, NY 10467

Call (917) 612-9054 Map

Mailing address

370 E 160th St
Bronx, NY 10451-4404

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP90854 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1669860912

Martha Dominguez's National Provider Identifier is 1669860912, issued on Jan 8, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bronx, NY. The record was last updated on Jan 8, 2015.