Individual
PAXTON DOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TLMHC
Contact information
Practice address
5400 KIRKWOOD BLVD SW, CEDAR RAPIDS, IA 52404-5298
(319) 364-0259
Mailing address
1555 SE DELAWARE AVE STE O, ANKENY, IA 50021-4011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
123362
IA
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
09/26/2019
Last updated
03/28/2024
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