Individual
MR. NATHANIEL JAMES DOMINY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2006 BREMO RD STE 101, RICHMOND, VA 23226-2438
(804) 918-1115
Mailing address
1317 N 34TH ST, RICHMOND, VA 23223-6836
(703) 507-2262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0734013814
VA
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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