Individual
ALEXIS NICOLE SANTO DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 W FRANCIS AVE STE 5, SPOKANE, WA 99205-6413
(509) 433-7755
Mailing address
515 W FRANCIS AVE STE 5, SPOKANE, WA 99205-6413
(509) 433-7755
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MHCA.MC.70046109
WA
106S00000X
Behavior Technician
Primary
CB61381530
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/02/2022
Last updated
09/21/2025
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