Individual provider · Type 1 NPI

Maria Virginia Dominguez

Mental Health Counselor · Fort Pierce, FL

NPI number 1790027779 Active

Practice location

2920 S 25th St
Fort Pierce, FL 34981-5605

Call (772) 340-5044 Map

Fax (772) 293-0347

Mailing address

540 Reef Rd
Vero Beach, FL 32963-2801

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1790027779

Maria Virginia Dominguez's National Provider Identifier is 1790027779, issued on Mar 18, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Pierce, FL. The record was last updated on Mar 18, 2013.