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Individual

MRS. MARISSA ROSE DOMINGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
150 E 29TH ST STE 237, LOVELAND, CO 80538-2765
(970) 203-4051
Mailing address
150 E 29TH ST STE 237, LOVELAND, CO 80538-2765
(970) 203-4051

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFC50725
CA
106H00000X
Marriage & Family Therapist
Primary
MFT1032
CO

Other

Enumeration date
01/29/2007
Last updated
05/07/2021
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