Individual
MRS. ALLYSON LEIGH DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS MHC
Contact information
Practice address
5711 S DIXIE HWY, SOUTH MIAMI, FL 33143-3602
(305) 667-1036
(305) 234-5459
Mailing address
5711 S DIXIE HWY, SOUTH MIAMI, FL 33143-3602
(305) 667-1036
(305) 234-5459
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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