Individual
ALEXIS DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
210 MAIN ST APT 911, HACKENSACK, NJ 07601-7366
(415) 786-6107
Mailing address
19 UNION SQ W, NEW YORK, NY 10003-3304
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
03/16/2026
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