Individual
MR. JOSE A DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.EDU.
Contact information
Practice address
22 OLD CANAL DR, LOWELL, MA 01851-2730
(978) 452-5755
(978) 970-0713
Mailing address
116 LOWELL BLVD, METHUEN, MA 01844-1813
(978) 691-5348
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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