Individual
JOHNATHAN AYON DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1622 OAKCASK, SAN ANTONIO, TX 78253-6000
(210) 612-8066
Mailing address
1622 OAKCASK, SAN ANTONIO, TX 78253-6000
(210) 612-8066
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
115076
TX
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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