Individual provider · Type 1 NPI
Juan R. Dominguez JR Jr., MA
Mental Health Counselor · Chicago, IL
NPI number
1750889507
Active
Practice location
7101 W Archer Ave Ste 402
Chicago, IL 60638-2231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1750889507
Juan R. Dominguez JR Jr., MA's National Provider Identifier is 1750889507, issued on Jan 26, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Jan 26, 2018.