NPI 1023671849

Maria Mercedes Dominguez, PHDLMFT

Practitioner Marriage & Family Therapist Fort Leonard Wood, MO

Practice location

Address: 124 Ellis St, Fort Leonard Wood, MO 65473-1148
Phone: (808) 600-4458
Mailing address: 233 Illinois Ave Unit 752, Fort Leonard Wood, MO 65473-3232

Registered specialties (2)

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 4101006781 (MI)

Other Marriage & Family Therapist providers in Missouri →

Marriage & Family Therapist

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 562 (HI)

Registry record

NPI: 1023671849
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Apr 2019
Record last updated: 17 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.