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Joshua Domine
Mental Health Counselor in Garden Grove, California
NPI 1245966621

Joshua Domine is a Mental Health Counselor based in Garden Grove, CA and is specialized in Mental Health. Joshua Domine practices in Garden Grove, CA. The NPI Number for Joshua Domine is 1245966621 and holds a License No. (California).

The current practice location address for Joshua Domine is 12912 Brookhurst St Ste 480, Garden Grove, CA and can be reached out via phone at 714-636-6286.

Location: 12912 Brookhurst St Ste 480, Garden Grove, CA, 92840-4867
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245966621
Provider Name
Joshua Domine
Credential
Provider Entity Type
Individual
Gender
Male
Address
12912 Brookhurst St Ste 480, Garden Grove, CA, 92840-4867
Phone Number
714-636-6286
Fax Number
Provider Enumeration Date
07/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12912 Brookhurst St Ste 480
City
Garden Grove
State
California
Zip
92840-4867
Phone Number
714-636-6286
Fax Number
person
Provider Business Mailing Address Details
Address
12912 Brookhurst St Ste 480
City
Garden Grove
State
California
Zip
92840-4867
Phone Number
714-636-6286
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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