Individual provider · Type 1 NPI

Luisa Dominguez, LSW

Mental Health Counselor · Hackensack, NJ

NPI number 1720840697 Active

Practice location

861 Main St # 1
Hackensack, NJ 07601-4907

Call (201) 678-1802 Map

Mailing address

165 Passaic Ave Ste 200
Fairfield, NJ 07004-3521

Other practice locations

  • 777 Route 70 E Ste G101, Marlton, NJ 08053-2548 · (800) 413-8020

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800X44SL06478000 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1720840697

Luisa Dominguez, LSW's National Provider Identifier is 1720840697, issued on Jan 26, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hackensack, NJ. The record was last updated on Apr 5, 2024.