Individual
JUNE M DOMINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6121 N THESTA ST STE 305, FRESNO, CA 93710-8603
(323) 538-1727
Mailing address
6121 N THESTA ST STE 305, FRESNO, CA 93710-8603
(323) 538-1727
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSB33138
CA
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
05/13/2008
Last updated
07/13/2021
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