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Individual
JANESSA DOMINGUEZ
Active
Individual
JANESSA DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
1-11-8594
FL
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/21/2008
Last updated
08/29/2023
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