Organization
ALLIANCE COUNSELING AND FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE HERNANDEZ DOMINGUEZ MFT (ORGANIZER)
(910) 595-6119
Entity
Organization
Contact information
Practice address
150 E FIRE TOWER RD STE C, WINTERVILLE, NC 28590-8330
(910) 595-6119
Mailing address
150 E FIRE TOWER RD STE C, WINTERVILLE, NC 28590-8330
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
06/27/2024
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