Jeanette Dominguez, LPC
Counselor, Professional in Dallas, TX. Individual provider (NPI-1).
NPI number1699212902
StatusActive
Last updated in NPPESFeb 19, 2019
Details
- NPI
- 1699212902
- Entity type
- Individual (NPI-1)
- Name
- Jeanette Dominguez
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 24, 2017
- Last updated
- Feb 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 73222 | TX | Yes |
Practice location
5565 Preston Oaks Rd Apt 106Dallas, TX 75254-8425
Phone 915-217-8092
Mailing address
5565 Preston Oaks Rd Apt 106Dallas, TX 75254-8425
Phone 915-217-8092
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