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Macie Dominique
Professional Counselor in Lakewood, Colorado
NPI 1124787411

Macie Dominique is a Professional Counselor based in Lakewood, CO and is specialized in Professional. Macie Dominique practices in Lakewood, CO. The NPI Number for Macie Dominique is 1124787411 and holds a License No. (Colorado).

The current practice location address for Macie Dominique is 777 S Wadsworth Blvd # 2-103A, Lakewood, CO and can be reached out via phone at 720-485-3756.

Location: 777 S Wadsworth Blvd # 2-103A, Lakewood, CO, 80226-4300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124787411
Provider Name
Macie Dominique
Credential
Provider Entity Type
Individual
Gender
Female
Address
777 S Wadsworth Blvd # 2-103A, Lakewood, CO, 80226-4300
Phone Number
720-485-3756
Fax Number
Provider Enumeration Date
12/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
777 S Wadsworth Blvd # 2-103A
City
Lakewood
State
Colorado
Zip
80226-4300
Phone Number
720-485-3756
Fax Number
person
Provider Business Mailing Address Details
Address
777 S Wadsworth Blvd # 2-103A
City
Lakewood
State
Colorado
Zip
80226-4300
Phone Number
720-485-3756
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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