Individual
MS. SARA E DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1161/1181 N EL DORADO PL, TUCSON, AZ 85715-4607
(520) 748-7108
Mailing address
1161 N EL DORADO PL STE 203, TUCSON, AZ 85715-4607
(520) 748-7108
(520) 748-7458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LAC-14220
AZ
101YP2500X
Professional Counselor
Primary
LPC-17555
AZ
Other
Enumeration date
07/28/2015
Last updated
06/18/2024
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