person
Elizabeth Domack, LPC
Professional Counselor in Bridgeport, Connecticut
NPI 1225405152

Elizabeth Domack is a Professional Counselor based in Bridgeport, CT and is specialized in Professional. Elizabeth Domack practices in Bridgeport, CT and has the professional credentials of LPC. The NPI Number for Elizabeth Domack is 1225405152 and holds a License No. 2811 (Connecticut).

The current practice location address for Elizabeth Domack is 170 Bennett St, Bridgeport, CT and can be reached out via phone at 203-330-6790.

Location: 170 Bennett St, Bridgeport, CT, 06605-2901
person
Provider Profile Details
NPI Number
1225405152
Provider Name
Elizabeth Domack
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
170 Bennett St, Bridgeport, CT, 06605-2901
Phone Number
203-330-6790
Fax Number
Provider Enumeration Date
08/26/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
170 Bennett St
City
State
Zip
06605-2901
Phone Number
203-330-6790
Fax Number
person
Provider Business Mailing Address Details
Address
170 Bennett St
City
State
Zip
06605-2901
Phone Number
203-330-6790
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2811 (Connecticut)
Definition
Definition to come...
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