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Organization
MARTHA DOMINGUEZ LICENSED MENTAL HEALTH COUNSELOR BEHAVIORAL HEALTH
Active
Organization
MARTHA DOMINGUEZ LICENSED MENTAL HEALTH COUNSELOR BEHAVIORAL HEALTH
Active
Other names
Behavioral Health Integrative Services PC
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA DOMINGUEZ (OWNER)
(718) 309-3090
Entity
Organization
Contact information
Practice address
370 E 160TH ST, BRONX, NY 10451-4404
(718) 309-3090
Mailing address
370 E 160TH ST, BRONX, NY 10451-4404
(718) 309-3090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/06/2015
Last updated
09/12/2023
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