Gabriel Dominguez is a Counselor based in Orlando, FL. Gabriel Dominguez practices in Orlando, FL. The NPI Number for Gabriel Dominguez is 1245696954 and holds a License No. (Florida).
The current practice location address for Gabriel Dominguez is 6000 Lake Ellenor Dr, Orlando, FL and can be reached out via phone at 407-636-6196.
Location: 6000 Lake Ellenor Dr, Orlando, FL, 32809-4615
Provider Profile Details
NPI Number
1245696954
Provider Name
Gabriel Dominguez
Credential
Provider Entity Type
Individual
Gender
Male
Address
6000 Lake Ellenor Dr, Orlando, FL, 32809-4615
Phone Number
407-636-6196
Fax Number
Provider Enumeration Date
01/11/2016
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134107113 | 01 | MA | MBHP |
| 1134107113 | 01 | MA | BEACON |
| 1134107113 | 01 | MA | NHP |
| 997303 | 01 | MA | NETWORK HEALTH |
| 042622756 | 01 | MA | CCA |
| 12529 | 01 | MA | HNE |
| 71756 | 01 | MA | TUFTS |
| 1134107113 | 01 | MA | FALLON |
| 1307576 | 05 | MA |
Provider Business Practice Location Address Details
Address
6000 Lake Ellenor Dr
City
State
Zip
32809-4615
Phone Number
407-636-6196
Fax Number
Provider Business Mailing Address Details
Address
6000 Lake Ellenor Dr
City
State
Zip
32809-4615
Phone Number
407-636-6196
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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