Individual
JULIE DOMINICAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
246 MONOMA RD, RED FEATHER LAKES, CO 80545-5056
(773) 818-9867
Mailing address
PO BOX 309, RED FEATHER LAKES, CO 80545-0309
(773) 818-9867
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC0020332
CO
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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