Madison Elizabeth Domka
NPI #1326716242 in Cottage Grove, Oregon
Provider Information
- NPI Number
- 1326716242
- Entity Type
- Individual
- Name
- Madison Elizabeth Domka
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 3, 2021
- Last Updated
- Aug 31, 2022
Practice Location
- Address
- 1345 BIRCH AVE
- City
- Cottage Grove
- State
- Oregon
- ZIP Code
- 97424-1416
- Phone
- (541) 942-3939
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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