Individual
MS. SHANNA LEWIS DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LPC, NCC
Contact information
Practice address
1406 LEXINGTON BLVD, MISSOURI CITY, TX 77489-2174
(346) 241-1416
(346) 239-1415
Mailing address
1406 LEXINGTON BLVD, MISSOURI CITY, TX 77489-2174
(832) 567-7234
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
78889
TX
Other
Enumeration date
08/25/2020
Last updated
06/30/2023
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