Individual
MR. DOMINIQUE L SOTELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
155 LIBERTY ST NE STE 370, SALEM, OR 97301-3552
(503) 910-4165
(971) 925-4154
Mailing address
155 LIBERTY RD NE, SUITE 370, SALEM, OR 97301-3505
(503) 910-4165
(971) 925-4154
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0669
OR
Other
Enumeration date
05/07/2010
Last updated
05/07/2010
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