Diego Leonardo Dominguez

NPI #1851924641 in Chicopee, Massachusetts

Provider Information

NPI Number: 1851924641
Entity Type: Individual
Name: Diego Leonardo Dominguez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 19, 2020
Last Updated: Feb 19, 2020

Practice Location

Address: 249 EXCHANGE ST
City: Chicopee
State: Massachusetts
ZIP Code: 01013-1679
Phone: (413) 540-1234

Specialties & Taxonomy Codes

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

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