Individual
DANIEL POOLEY DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHCA, NCC
Contact information
Practice address
983 MAR DON DR, WINSTON SALEM, NC 27104-4624
(336) 923-7426
(704) 625-3617
Mailing address
983 MAR DON DR, WINSTON SALEM, NC 27104-4624
(336) 923-7426
(704) 625-3617
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A22359
NC
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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