Individual
DIEGO LEONARDO DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
249 EXCHANGE ST, CHICOPEE, MA 01013-1679
(413) 540-1234
Mailing address
15 COUNTRY LN, BELCHERTOWN, MA 01007-9717
(413) 687-1539
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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