Individual
ELLIOTT DOMBROSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 ASBEE CT, GOODLETTSVILLE, TN 37072-2110
(440) 525-4750
Mailing address
113 ASBEE CT STE 109, GOODLETTSVILLE, TN 37072-2110
(440) 525-4750
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LDC0000001486
TN
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
06/28/2016
Last updated
08/11/2021
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