Individual
JAMIE DOMAGATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11285 HIGHLINE DR, NORTHGLENN, CO 80233-3076
(303) 853-3500
(303) 853-3702
Mailing address
1870 W 122ND AVE STE 100, WESTMINSTER, CO 80234-2075
(303) 853-3500
(303) 853-3702
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC.0013704
CO
Other
Enumeration date
09/16/2021
Last updated
09/29/2021
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