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Mr. Jorge Dominguez JR.
Professional Counselor in Portland, Texas
NPI 1306399290

Jorge Dominguez JR. is a Professional Counselor based in Portland, TX and is specialized in Professional. Jorge Dominguez JR. practices in Portland, TX. The NPI Number for Jorge Dominguez JR. is 1306399290 and holds a License No. 12693 (Texas).

The current practice location address for Jorge Dominguez JR. is 2004 Westwood Dr, Portland, TX and can be reached out via phone at 956-740-2661.

Location: 2004 Westwood Dr, Portland, TX, 78374-3007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306399290
Provider Name
Jorge Dominguez JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2004 Westwood Dr, Portland, TX, 78374-3007
Phone Number
956-740-2661
Fax Number
Provider Enumeration Date
07/27/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2004 Westwood Dr
City
Portland
State
Texas
Zip
78374-3007
Phone Number
956-740-2661
Fax Number
person
Provider Business Mailing Address Details
Address
2004 Westwood Dr
City
Portland
State
Texas
Zip
78374-3007
Phone Number
956-740-2661
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
72077 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
12693 (Texas)
Definition
Definition to come...
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