Individual
JAIME DOMZALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
10771 MAIN ST, MANTUA, OH 44255-8926
(440) 223-7395
Mailing address
10771 MAIN ST, MANTUA, OH 44255-8926
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2507143-TRNE
OH
Other
Enumeration date
10/24/2025
Last updated
01/21/2026
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