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Organization
MARISSA ROSE DOMINGUEZ LMFT
Active
Organization
MARISSA ROSE DOMINGUEZ LMFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA DOMINGUEZ LMFT (OWNER)
(970) 203-4051
Entity
Organization
Contact information
Practice address
150 E 29TH ST STE 237, LOVELAND, CO 80538-2765
(970) 203-4051
Mailing address
4359 BIRCHWOOD DR, LOVELAND, CO 80538-5618
(970) 203-4051
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
—
NULL
101200000X
Drama Therapist
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
221700000X
Art Therapist
—
NULL
221700000X
Art Therapist
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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