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Jonathan Dominguez
Professional Counselor in Concordia, Kansas
NPI 1295512796

Jonathan Dominguez is a Professional Counselor based in Concordia, KS and is specialized in Professional. Jonathan Dominguez practices in Concordia, KS. The NPI Number for Jonathan Dominguez is 1295512796 and holds a License No. LPC04302 (Kansas).

The current practice location address for Jonathan Dominguez is 210 W 21St St, Concordia, KS and can be reached out via phone at 785-243-8900.

Location: 210 W 21St St, Concordia, KS, 66901-5200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295512796
Provider Name
Jonathan Dominguez
Credential
Provider Entity Type
Individual
Gender
Male
Address
210 W 21St St, Concordia, KS, 66901-5200
Phone Number
785-243-8900
Fax Number
Provider Enumeration Date
09/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
210 W 21St St
City
Concordia
State
Kansas
Zip
66901-5200
Phone Number
785-243-8900
Fax Number
person
Provider Business Mailing Address Details
Address
210 W 21St St
City
Concordia
State
Kansas
Zip
66901-5200
Phone Number
785-243-8900
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC04302 (Kansas)
Definition
Definition to come...
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