Dominique Denise Stillman

NPI #1124298039 in Altadena, California

Provider Information

NPI Number: 1124298039
Entity Type: Individual
Name: Dominique Denise Stillman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Mar 6, 2008
Last Updated: Mar 6, 2008

Practice Location

Address: 686 E MARIPOSA ST
City: Altadena
State: California
ZIP Code: 91001-2349
Phone: (626) 712-5655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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