Individual
DOMINIQUE MARIA OPUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
500 N WEST ST, DOYLESTOWN, PA 18901-2366
(215) 345-5300
Mailing address
3941 PALMER CT, COLLEGEVILLE, PA 19426-4810
(313) 673-0763
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC007345
PA
Other
Enumeration date
10/25/2010
Last updated
04/29/2014
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