Individual
KELLY M DOMINIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
408 N COLUMBUS ST, LANCASTER, OH 43130-3033
(740) 206-8659
(614) 437-2580
Mailing address
10955 CLEARPORT RD SW, AMANDA, OH 43102-9612
(330) 730-9511
(614) 437-2580
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
F.2200291
OH
106H00000X
Marriage & Family Therapist
Primary
M1700013
OH
Other
Enumeration date
06/15/2018
Last updated
04/06/2026
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