Martha Dominguez Licensed Mental Health Counselor Behavioral Health

NPI #1306216064 in Bronx, New York

Provider Information

NPI Number: 1306216064
Entity Type: Organization
Organization Name: Martha Dominguez Licensed Mental Health Counselor Behavioral Health
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 6, 2015
Last Updated: Sep 12, 2023

Practice Location

Address: 370 E 160TH ST
City: Bronx
State: New York
ZIP Code: 10451-4404
Phone: (718) 309-3090

Authorized Official

Name: MARTHA DOMINGUEZ
Title: OWNER
Phone: (718) 309-3090

Specialties & Taxonomy Codes

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

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