SearchMissouri106H00000X

Maria Dominguez, PHD, LMFT

NPI 1023671849 · on the registry since 2019 · sole proprietor

Practice

Address
124 Ellis St
Fort Leonard Wood, MO 65473
Phone
(808) 600-4458

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
106H00000X
Licence states on file
HI, MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-04-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri