Individual
MR. CHRISTOPHER RAE DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. , AMFT
Contact information
Practice address
10718 S BECKSTEAD LN STE 103, SOUTH JORDAN, UT 84095-2605
(801) 477-0041
Mailing address
1426 E 820 N, OREM, UT 84097-5481
(801) 477-0041
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
13760061-3904
UT
Other
Enumeration date
01/15/2024
Last updated
06/06/2024
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