Individual provider · Type 1 NPI

Mary Dominguez, LPC

Mental Health Counselor · Lakewood, CO

NPI number 1891520169 Active

Practice location

12211 W Alameda Pkwy Ste 105
Lakewood, CO 80228-2825

Call (979) 777-5993 Map

Mailing address

3526 Newland St
Wheat Ridge, CO 80033-6443

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC.0017339 (CO)

Mental Health Counselor: Definition to come...

6 other providers at this address

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About NPI 1891520169

Mary Dominguez, LPC's National Provider Identifier is 1891520169, issued on Sep 5, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakewood, CO. The record was last updated on Sep 5, 2024.