Kelly Jeanne Dominic, LCPC
NPI #1427507557 in Millersville, Maryland
Provider Information
- NPI Number
- 1427507557
- Entity Type
- Individual
- Name
- Kelly Jeanne Dominic, LCPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCPC
- Enumeration Date
- Sep 30, 2016
- Last Updated
- Mar 25, 2022
Practice Location
- Address
- 1114 BENFIELD BLVD STE G
- City
- Millersville
- State
- Maryland
- ZIP Code
- 21108-2589
- Phone
- (443) 386-4928
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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