DOMINIQUE DOMINGO
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1497629729- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2275 S EAGLE RD STE 120, MERIDIAN, ID, 836422620
- Phone
- (208) 514-2520
- Fax
- (208) 375-2217
Specialties & Taxonomies
Counselor, Mental Health
Primary