ALICIA DOMINGUEZ
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1194595561- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1145 M ST, GERING, NE, 693412835
- Phone
- (308) 633-3703
Specialties & Taxonomies
Counselor, Mental Health
Primary License: NE #13742