Individual
MRS. CHASITY ZAYAS-DOMINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHC-LP
Contact information
Practice address
4975 LACROSS RD STE 351, NORTH CHARLESTON, SC 29406-6530
(855) 284-7483
Mailing address
21 COMMACK RD, MASTIC BEACH, NY 11951-3401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
9063
SC
Other
Enumeration date
03/04/2021
Last updated
12/12/2023
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