Heather Dominguez

NPI #1982075461 in Kotzebue, Alaska

Provider Information

NPI Number: 1982075461
Entity Type: Individual
Name: Heather Dominguez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 9, 2015
Last Updated: Oct 9, 2015

Practice Location

Address: 733 2ND AVENUE
City: Kotzebue
State: Alaska
ZIP Code: 99752-0951
Phone: (907) 442-7640

Specialties & Taxonomy Codes

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

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