Individual
AMBER RENEE DOMINIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC000795
PA
101YP2500X
Professional Counselor
PC018997
PA
Other
Enumeration date
06/30/2021
Last updated
08/11/2025
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