Individual
NATASHA DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
106 M. EVANS ST. #423, LITTLE RIVER ACADEMY, TX 76554-9998
(832) 619-9270
Mailing address
106 M. EVANS ST. #423, LITTLE RIVER ACADEMY, TX 76554-9998
(832) 619-9270
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401224289
MI
101YP2500X
Professional Counselor
91414
TX
106H00000X
Marriage & Family Therapist
Primary
205395
TX
106H00000X
Marriage & Family Therapist
4101007411
MI
106H00000X
Marriage & Family Therapist
MFT-896
HI
Other
Enumeration date
04/19/2023
Last updated
12/10/2024
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