Individual provider · Type 1 NPI

Leslie Haaland Dominick, MS, LCPC

Professional Counselor · Bozeman, MT

NPI number 1821758012 Active

Practice location

2050 Fairway Dr Ste 203
Bozeman, MT 59715-5810

Call (406) 478-6611 Map

Mailing address

10619 Kelly Canyon Rd
Bozeman, MT 59715-9688

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XBBH-LCPC-LIC-50557 (MT)
Professional Counselor Primary 101YP2500XBBH-LCPC-LIC-50557 (MT)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1821758012

Leslie Haaland Dominick, MS, LCPC's National Provider Identifier is 1821758012, issued on Dec 29, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bozeman, MT. The record was last updated on Dec 29, 2021.