Rene Beth Domask, LPC

NPI #1740888544 in Sturgeon Bay, Wisconsin

Provider Information

NPI Number: 1740888544
Entity Type: Individual
Name: Rene Beth Domask, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LPC
Enumeration Date: Oct 14, 2020
Last Updated: Oct 14, 2020

Practice Location

Address: 760 QUARTERDECK LN # 2102B
City: Sturgeon Bay
State: Wisconsin
ZIP Code: 54235-3639
Phone: (920) 851-6404

Specialties & Taxonomy Codes

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

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