Individual provider · Type 1 NPI
Julie Dominicak, MA, LPCC
Professional Counselor · Red Feather Lakes, CO
NPI number
1689372278
Active
Practice location
246 Monoma Rd
Red Feather Lakes, CO 80545-5056
Mailing address
PO Box 309
Red Feather Lakes, CO 80545-0309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPCC0020332 (CO) |
Professional Counselor: Definition to come...
About NPI 1689372278
Julie Dominicak, MA, LPCC's National Provider Identifier is 1689372278, issued on Feb 22, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Red Feather Lakes, CO. The record was last updated on Feb 22, 2023.