Individual provider · Type 1 NPI
Lisa M. Domengeaux, M.ED.
Counselor · Spring, TX
NPI number
1730663873
Active
Practice location
25511 Budde Rd Ste 1002
Spring, TX 77380-2089
Fax (281) 715-4742
Mailing address
162 Rushwing Pl
The Woodlands, TX 77381-4319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 79369 (TX) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2 other providers at this address
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About NPI 1730663873
Lisa M. Domengeaux, M.ED.'s National Provider Identifier is 1730663873, issued on Sep 24, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Spring, TX. The record was last updated on Sep 24, 2018.