Individual
THOMASIN DOMENECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ALC
Contact information
Practice address
810 SHONEY DR SW STE 115, HUNTSVILLE, AL 35801-5450
(256) 527-9387
Mailing address
190 LIME QUARRY RD STE 111, MADISON, AL 35758-8975
(256) 278-2802
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC03911
AL
Other
Enumeration date
07/14/2020
Last updated
05/24/2023
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